Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07711 | Date 17/11/2022 |
| Token No | SM/22-23/6427 17/11/2022 | Serial | 005 |
| Patient Name | Mr. AMIT DAS. | Contact No | 9836607571 |
| Address | 17/B B L C MILLS BYE LANE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||