Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13736 | Date 17/11/2025 |
| Token No | SM/25-26/2644 17/11/2025 | Serial | 008 |
| Patient Name | Mr. PROSENJIT CHATTERJEE | Contact No | 9874685746 |
| Address | 592 G.T. ROAD | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||