Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10971 | Date 18/12/2023 |
| Token No | SM/22-23/13893 18/12/2023 | Serial | 044 |
| Patient Name | Mr. BISWANATH PAN | Contact No | 9830190914 |
| Address | 10 CHATTERJEE LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||