Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02767 | Date 07/08/2019 |
| Token No | SM/22-23/5670 19/10/2022 | Serial | 007 |
| Patient Name | Mr. ANANDA MOHON BISWAS | Contact No | 9051164054 |
| Address | 109 RISHI BANKIM SARANI | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||