Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08147 | Date 10/01/2023 |
| Token No | SM/22-23/7432 10/01/2023 | Serial | 010 |
| Patient Name | Mr. SHYMAL KUNDU | Contact No | 9874017183 |
| Address | 543 G T ROAD, MANIKTALA | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||