Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06282 | Date 05/07/2022 |
| Token No | SM/22-23/3746 05/07/2022 | Serial | 017 |
| Patient Name | Mr. TAPAS CHAKRABORTY | Contact No | 7439208710 |
| Address | 3 KAILASH CHATTERJEE LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||