Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05272 | Date 11/01/2022 |
| Token No | SM/21-22/1856 11/01/2022 | Serial | 003 |
| Patient Name | Mr. NIMAI NANDI | Contact No | 9903179441 |
| Address | 21 CHANDRAMOHAN ROY LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||