Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07574 | Date 09/11/2022 |
| Token No | SM/22-23/6139 09/11/2022 | Serial | 032 |
| Patient Name | Mr. PRADIP BISWAS | Contact No | 9163872062 |
| Address | BIBIR BER | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||