Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12498 | Date 26/12/2024 |
| Token No | SM/25-26/1343 23/07/2025 | Serial | 016 |
| Patient Name | Mr. SOMNATH. CHATTERJEE. | Contact No | NOT GIVEN |
| Address | THAKURBATI STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||