Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12005 | Date 28/08/2024 |
| Token No | SM/24-25/19320 17/10/2024 | Serial | 007 |
| Patient Name | Mr. PRADYUT CHATTERJEE | Contact No | 9123047281 |
| Address | 79 PATUAPARA LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||