Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01382 | Date 09/04/2020 |
| Token No | SM/25-26/10036 06/11/2025 | Serial | 033 |
| Patient Name | Mr. JAGANNATH MUKHERJEE | Contact No | 6291894954 |
| Address | 55 RAMKRISHNA ROAD CHATRA BAIDYABATI M 712204 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 138/90 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||