Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08826 | Date 24/04/2023 |
| Token No | SM/22-23/14549 01/02/2024 | Serial | 021 |
| Patient Name | Mr. HRIDAYNATH DEY | Contact No | NOT GIVEN |
| Address | DEY STREET, DEY BARI | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||