Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07632 | Date 14/11/2022 |
| Token No | SM/22-23/6260 14/11/2022 | Serial | 013 |
| Patient Name | Mr. BHUT NATH ROY | Contact No | 8697613975 |
| Address | 55 RAILAND ROAD | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||