Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08616 | Date 22/03/2023 |
| Token No | SM/24-25/21037 20/02/2025 | Serial | 011 |
| Patient Name | Mr. INDRANIL BANERJEE | Contact No | 9748595887 |
| Address | BECHU DEY LANE | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||