Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10829 | Date 29/11/2023 |
| Token No | SM/24-25/19093 30/09/2024 | Serial | 017 |
| Patient Name | Mr. SATYACHARAN MUKHOPADHYAY | Contact No | 6289585200 |
| Address | BHAGIRATHI LANE | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||