Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12297 | Date 04/11/2024 |
| Token No | SM/24-25/19570 04/11/2024 | Serial | 016 |
| Patient Name | Mr. SUGATA MUKHERJEE | Contact No | 8697962087 |
| Address | 13 CHATTERJEE LANE | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||