Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08136 | Date 06/01/2023 |
| Token No | SM/22-23/7412 06/01/2023 | Serial | 027 |
| Patient Name | Mr. ASHOK BHATTACHARJEE | Contact No | 9007418388 |
| Address | 35 N N COLONY | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||