Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05454 | Date 21/02/2022 |
| Token No | SM/22-23/10977 18/07/2023 | Serial | 011 |
| Patient Name | Mr. SK RAMJAN | Contact No | 9903275143 |
| Address | 50 N L BHATTACHARJEE STREET | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||