Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11336 | Date 30/03/2024 |
| Token No | SM/22-23/15527 30/03/2024 | Serial | 003 |
| Patient Name | Mr. SONU DAS | Contact No | 7808033507 |
| Address | DHARMATALA SERAMPORE | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||