Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09267 | Date 08/06/2023 |
| Token No | SM/22-23/10044 08/06/2023 | Serial | 004 |
| Patient Name | Mr. KARTIK DASGUPTA | Contact No | NOT GIVEN |
| Address | 402 g.t. road, sonar bangla | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||