Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09284 | Date 09/06/2023 |
| Token No | SM/22-23/10076 09/06/2023 | Serial | 016 |
| Patient Name | Mr. BISWANATH MUNSI | Contact No | NOT GIVEN |
| Address | 7/3 MUSALMAN PARA LANE | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||