Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12688 | Date 22/02/2025 |
| Token No | SM/25-26/929 23/06/2025 | Serial | 001 |
| Patient Name | Mr. AMITAVA BANERJEE | Contact No | 8334954996 |
| Address | MANIKTALA DEY BAGAN, 135/E/1 G T ROAD | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||