Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03716 | Date 08/01/2020 |
| Token No | SM/22-23/5348 27/09/2022 | Serial | 022 |
| Patient Name | Mr. NANDADULAL SAHA | Contact No | 9830568400 |
| Address | 11 CHOWDHURY PARA | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||