Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12689 | Date 22/02/2025 |
| Token No | SM/24-25/21076 22/02/2025 | Serial | 013 |
| Patient Name | Mr. ALOK RAKSHIT | Contact No | 9674453812 |
| Address | 47 LALIT MOHAN BHATTACHARYA ST | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||