Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13234 | Date 16/07/2025 |
| Token No | SM/25-26/1233 16/07/2025 | Serial | 003 |
| Patient Name | Mr. ASHOK PRAMANICK | Contact No | 8276064020 |
| Address | 7 KAILASH CHANDRA CHATTERJEE LANE | Age | 60 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||