Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06963 | Date 07/09/2022 |
| Token No | SM/22-23/4969 07/09/2022 | Serial | 017 |
| Patient Name | Mr. DEBASISH SARKAR | Contact No | 9748730378 |
| Address | 17 KAILASH CHATTERJEE LANE | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||