Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02244 | Date 15/07/2022 |
| Token No | SM/25-26/12442 29/12/2025 | Serial | 011 |
| Patient Name | Mr. SHAMIK CHATTERJEE | Contact No | 9163189410 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||