Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06810 | Date 24/08/2022 |
| Token No | SM/25-26/2414 29/10/2025 | Serial | 003 |
| Patient Name | Mr. TANMOY SARKAR | Contact No | 7439811493 |
| Address | 17 KAILSH CHATTERJEE LANE | Age | 37 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||