Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07292 | Date 17/10/2022 |
| Token No | SM/22-23/5599 17/10/2022 | Serial | 053 |
| Patient Name | Mr. ANURAG PAL | Contact No | 6290092072 |
| Address | 41/5 S.B.GHOSH LANE | Age | 24 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||