Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11180 | Date 21/02/2024 |
| Token No | SM/24-25/17662 22/07/2024 | Serial | 004 |
| Patient Name | Mr. AMARNATH SADHUKHAN | Contact No | 9836605763 |
| Address | 21B KAILASH CHATTERJEE LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||