Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12856 | Date 04/04/2025 |
| Token No | SM/25-26/2406 28/10/2025 | Serial | 003 |
| Patient Name | Mr. MANAS MUKHERJEE | Contact No | 7980670960 |
| Address | BBHAGIRATHI LANE | Age | 68 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||