Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01451 | Date 20/12/2018 |
| Token No | SM/24-25/18020 08/08/2024 | Serial | 011 |
| Patient Name | Mr. NARESH SARKAR | Contact No | 9331704609 |
| Address | J N LAHIRI ROAD / SP MUKHERJEE SORONI | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||