Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06538 | Date 28/07/2022 |
| Token No | SM/22-23/4155 28/07/2022 | Serial | 017 |
| Patient Name | Mr. SOUMYO MUKHERJEE | Contact No | 8910699962 |
| Address | 97 THAKUR BATI STREET | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||