Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10363 | Date 12/09/2023 |
| Token No | SM/25-26/1464 30/07/2025 | Serial | 004 |
| Patient Name | Mr. PRANAB KUMAR BHATTACHARYA | Contact No | 9432227529 |
| Address | 107/8 THAKURBATI STREET | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||