Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10705 | Date 01/11/2023 |
| Token No | SM/22-23/13119 01/11/2023 | Serial | 006 |
| Patient Name | Mr. SUKANTA BOSE | Contact No | 9007285061 |
| Address | 14 KAILASH CHATTERJEE LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||