Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06124 | Date 17/06/2022 |
| Token No | SM/22-23/3458 17/06/2022 | Serial | 006 |
| Patient Name | Mr. SANJAY PAL | Contact No | 9433668470 |
| Address | J N LAHIRI ROAD | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||