Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05836 | Date 13/05/2022 |
| Token No | SM/22-23/2967 13/05/2022 | Serial | 001 |
| Patient Name | Mr. ASIS MUKHERJEE | Contact No | 7980259071 |
| Address | 14A/18E SATISH CHANDRA GHOSH LANE | Age | 67 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||