Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06531 | Date 28/07/2022 |
| Token No | SM/22-23/4142 28/07/2022 | Serial | 004 |
| Patient Name | Mr. SWAPANJIT SUR | Contact No | 9433663487 |
| Address | J N LAHIRI ROAD | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||