Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06141 | Date 18/06/2022 |
| Token No | SM/22-23/3812 08/07/2022 | Serial | 017 |
| Patient Name | Mr. TINKARI DAS... | Contact No | 9883242514 |
| Address | 15 G T ROAD, kalitala | Age | 84 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||