Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12770 | Date 12/03/2025 |
| Token No | SM/24-25/21298 12/03/2025 | Serial | 014 |
| Patient Name | Mr. SUNIL CHATTERJEE | Contact No | 8013551655 |
| Address | 6B CHOWDHURY PARA | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||