Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13252 | Date 19/07/2025 |
| Token No | SM/25-26/1283 19/07/2025 | Serial | 002 |
| Patient Name | Mr. TRIDIP CHATTERJEE | Contact No | 9051922351 |
| Address | 32A PANCHANAN TALA LANE | Age | 58 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||