Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07870 | Date 02/12/2022 |
| Token No | SM/22-23/6775 02/12/2022 | Serial | 004 |
| Patient Name | Mr. SUDARSHAN ROY | Contact No | 9955769405 |
| Address | 12 NO LINE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||