Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02788 | Date 13/08/2019 |
| Token No | SM/21-22/492 25/06/2021 | Serial | 001 |
| Patient Name | Mr. DINABANDHU KUNDU | Contact No | 9163159435 |
| Address | 35 A K C BHATTACHARJEE STREET | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||