Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12424 | Date 04/12/2024 |
| Token No | SM/24-25/20041 04/12/2024 | Serial | 007 |
| Patient Name | Mr. KALI PRASAD BANERJEE | Contact No | 9432270957 |
| Address | 83 THAKUR BATI STREET | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||