Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13638 | Date 18/10/2025 |
| Token No | SM/25-26/2340 18/10/2025 | Serial | 013 |
| Patient Name | Mr. DEBJYOTI KUNDU.. | Contact No | 9073108783 |
| Address | 36/C AKC BHATTACHARYA STREET | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||