Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06075 | Date 13/06/2022 |
| Token No | SM/22-23/3366 13/06/2022 | Serial | 017 |
| Patient Name | Mr. PRAHLAD BHAR | Contact No | 9831467701 |
| Address | 27/A PANDIT KALINATH BHATTACHARJEE STREET | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||