Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10559 | Date 28/09/2023 |
| Token No | SM/22-23/12775 28/09/2023 | Serial | 006 |
| Patient Name | Mr. ANANDA SEN | Contact No | 9007674217 |
| Address | CHOTOBELU SERAMPORE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||