Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08850 | Date 08/03/2025 |
| Token No | SM/24-25/36593 08/03/2025 | Serial | 003 |
| Patient Name | Mr. GORA BHATTACHARJEE | Contact No | 7439697958 |
| Address | 15 8 MAIN ROAD A LANE KALIANIBASH BARRACKPORE 700122 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||