Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02918 | Date 27/08/2019 |
| Token No | SM/24-25/18430 28/08/2024 | Serial | 035 |
| Patient Name | Mr. RAJU MUKHERJEE | Contact No | 9874036992 |
| Address | KONNAGAR NABAGRAM | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||