Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04818 | Date 27/08/2021 |
| Token No | SM/24-25/21263 10/03/2025 | Serial | 005 |
| Patient Name | Mr. TARUN MUKHERJEE | Contact No | 8910889530 |
| Address | 10 CHATTERJEE LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||