Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12248 | Date 19/10/2024 |
| Token No | SM/24-25/19344 19/10/2024 | Serial | 012 |
| Patient Name | Mr. GANARANJAN CHAKRABOTI | Contact No | 6289948953 |
| Address | 597B G.T. ROAD, SIRISHTALA | Age | 81 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||