Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06438 | Date 22/07/2022 |
| Token No | SM/22-23/3971 22/07/2022 | Serial | 010 |
| Patient Name | Mr. PRABIR CHATTERJEE | Contact No | NOT GIVEN |
| Address | 48 PANCHANAN TALA LANE | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||