Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12409 | Date 29/11/2024 |
| Token No | SM/24-25/19981 29/11/2024 | Serial | 011 |
| Patient Name | Mr. SUVENDU BAG | Contact No | 9748376492 |
| Address | 3 PITAMBAR DEY LANE | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||