Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13342 | Date 06/08/2025 |
| Token No | SM/25-26/1552 06/08/2025 | Serial | 013 |
| Patient Name | Mr. SAMIT CHATTERJEE | Contact No | 8100084409 |
| Address | S.B. GHOSH LANE | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||