Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04723 | Date 13/08/2021 |
| Token No | SM/24-25/20164 12/12/2024 | Serial | 007 |
| Patient Name | Mr. ASHOK KUMAR CHATTERJEE | Contact No | 9051534223 |
| Address | 70 J.N. LAHIRI ROAD | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||