Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09892 | Date 07/08/2023 |
| Token No | SM/22-23/11432 07/08/2023 | Serial | 008 |
| Patient Name | Mr. SAIKAT BHUNYA | Contact No | 6295681367 |
| Address | A.B. GARDEN LANE | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||