Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12121 | Date 20/09/2024 |
| Token No | SM/24-25/18896 20/09/2024 | Serial | 016 |
| Patient Name | Mr. SHRI BHAGABAN | Contact No | 8336910850 |
| Address | 13 KAILASH CHATTERJEE LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||