Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09385 | Date 16/06/2023 |
| Token No | SM/22-23/10285 16/06/2023 | Serial | 021 |
| Patient Name | Mr. SUBRATA SAHA | Contact No | 9748993482 |
| Address | 11/18 JANNAGAR ROAD | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||