Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13689 | Date 03/11/2025 |
| Token No | SM/25-26/2472 03/11/2025 | Serial | 008 |
| Patient Name | Mr. ANJAN KUMAR BANERJEE | Contact No | 7003890126 |
| Address | 11 CHATTERJEE LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||