Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11395 | Date 09/04/2024 |
| Token No | SM/24-25/19841 22/11/2024 | Serial | 014 |
| Patient Name | Mr. AMIT MUKHERJEE | Contact No | 7980259071 |
| Address | 14/18A SATISH CHANDRA GHOSH LANE, MAHESH, 712202 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||