Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08101 | Date 26/10/2024 |
| Token No | SM/24-25/30129 26/10/2024 | Serial | 021 |
| Patient Name | Mr. AMIT BANERJEE | Contact No | 9432734743 |
| Address | 5/D PITAMBAR DEY LANE SERAMPORE 712201 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||