Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12108 | Date 18/09/2024 |
| Token No | SM/24-25/18844 18/09/2024 | Serial | 029 |
| Patient Name | Mr. SHUBHENDU CHATTERJEE | Contact No | 7604080602 |
| Address | 459 MANKUNDU TETULTALA LANE | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||