Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10944 | Date 13/12/2023 |
| Token No | SM/22-23/13729 13/12/2023 | Serial | 008 |
| Patient Name | Mr. RANJIT ROY | Contact No | 7363948082 |
| Address | 45 PANCHANAN TALA | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||