Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06756 | Date 17/08/2022 |
| Token No | SM/22-23/4572 17/08/2022 | Serial | 004 |
| Patient Name | Mr. BIJOY KUMAR DAS | Contact No | NOT GIVEN |
| Address | 455/A/2 G T ROAD, MAHESH | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||