Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12687 | Date 22/02/2025 |
| Token No | SM/25-26/1342 23/07/2025 | Serial | 015 |
| Patient Name | Mr. ANIRUDDHA MUKHERJEE | Contact No | 8017641990 |
| Address | 19 KAILASH CHATTERJEE LANE | Age | 2 YRS 6 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||