Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06407 | Date 20/07/2022 |
| Token No | SM/22-23/3933 20/07/2022 | Serial | 017 |
| Patient Name | Mr. TAMAL ADHIKARY | Contact No | 9433668950 |
| Address | JAGANNATH GHAT LANE | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||