Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13318 | Date 29/07/2025 |
| Token No | SM/25-26/1452 29/07/2025 | Serial | 008 |
| Patient Name | Mr. SUMMAN CHATTERJEE | Contact No | 9735541876 |
| Address | 92/B DEY STREET, RADHABALLAV APARTMENT | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||