Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00081 | Date 06/08/2018 |
| Token No | SM/22-23/14001 28/12/2023 | Serial | 005 |
| Patient Name | Mr. SAMIR KUMAR CHAKRABORTY | Contact No | 9830590177 |
| Address | Age | 61 YRS Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||