Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12257 | Date 21/10/2024 |
| Token No | SM/24-25/19402 21/10/2024 | Serial | 044 |
| Patient Name | Mr. GOPAL DUTTA | Contact No | 9088710687 |
| Address | 23A DOSTI LANE | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||