Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09292 | Date 12/06/2023 |
| Token No | SM/22-23/13205 06/11/2023 | Serial | 028 |
| Patient Name | Mr. ASISH KUMAR BANERJEE | Contact No | 9433975950 |
| Address | 3 BECHU DEY LANE | Age | 83 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||