Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05748 | Date 21/04/2022 |
| Token No | SM/22-23/2794 21/04/2022 | Serial | 018 |
| Patient Name | Mr. KANCHAN CHAKRABORTY | Contact No | 8478862435 |
| Address | 2 GOPAL GANGULY LANE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||