Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09428 | Date 21/06/2023 |
| Token No | SM/22-23/10362 21/06/2023 | Serial | 008 |
| Patient Name | Mr. PITAMBAR GHOSH | Contact No | 9830785985 |
| Address | KALITALA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||