Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04586 | Date 09/07/2021 |
| Token No | SM/22-23/2599 04/04/2022 | Serial | 005 |
| Patient Name | Mr. PRADIP SENGUPTA | Contact No | 8017849691 |
| Address | 16 SITAL SARKAR LANE | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||