Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06609 | Date 04/08/2022 |
| Token No | SM/22-23/4289 04/08/2022 | Serial | 003 |
| Patient Name | Mr. SUMAN KARMAKAR | Contact No | 8013598917 |
| Address | 56 THAKUR BATI STREET | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||