Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11281 | Date 14/03/2024 |
| Token No | SM/22-23/15262 14/03/2024 | Serial | 012 |
| Patient Name | Mr. AGNIBHA SAHA | Contact No | 7003946661 |
| Address | 68 K.M. SHA STREET | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||