Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06434 | Date 22/07/2022 |
| Token No | SM/24-25/19918 26/11/2024 | Serial | 015 |
| Patient Name | Mr. BARUN RAKSHIT | Contact No | NOT GIVEN |
| Address | 3 A K C BHATTACHARJEE STREET | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||