Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10825 | Date 29/11/2023 |
| Token No | SM/22-23/13404 29/11/2023 | Serial | 001 |
| Patient Name | Mr. KAUSTAV SAHA | Contact No | 9685745820 |
| Address | JANNAGAR ROAD | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||