Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05367 | Date 31/01/2022 |
| Token No | SM/22-23/13823 16/12/2023 | Serial | 003 |
| Patient Name | Mr. BISWAJIT PAL | Contact No | 9433356222 |
| Address | 96 DEY STREET | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||