Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11342 | Date 01/04/2024 |
| Token No | SM/22-23/15541 01/04/2024 | Serial | 006 |
| Patient Name | Mr. TARANI DUTTA | Contact No | 9051610226 |
| Address | 36 KASHI DOCTOR LANE | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||