Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09408 | Date 19/06/2023 |
| Token No | SM/22-23/10330 19/06/2023 | Serial | 017 |
| Patient Name | Mr. KRISHNENDU TAPADAR | Contact No | 7008598452 |
| Address | JHAUTALA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||