Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12672 | Date 17/02/2025 |
| Token No | SM/24-25/20984 17/02/2025 | Serial | 004 |
| Patient Name | Mr. TAPAS CHATTERJEE | Contact No | 6289122289 |
| Address | 40 L M B STREET | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||