Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06960 | Date 07/09/2022 |
| Token No | SM/24-25/20126 11/12/2024 | Serial | 001 |
| Patient Name | Mr. MOLOY BANERJEE.. | Contact No | 9836847156 |
| Address | 53 DHULIPARA LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||