Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12342 | Date 14/11/2024 |
| Token No | SM/24-25/19718 14/11/2024 | Serial | 025 |
| Patient Name | Mr. AMIYA KUMAR DEY | Contact No | 9432083394 |
| Address | 4A DEY STREET | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||