Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06882 | Date 02/09/2022 |
| Token No | SM/22-23/4829 02/09/2022 | Serial | 025 |
| Patient Name | Mr. BANGSHI ROY | Contact No | 9647793211 |
| Address | GANGULY BAGAN LANE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||