Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07933 | Date 13/12/2022 |
| Token No | SM/22-23/6945 13/12/2022 | Serial | 001 |
| Patient Name | Mr. NILKANTA SARKHEL | Contact No | 8420503612 |
| Address | 120 THAKUR BATI STREET | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||