Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07400 | Date 25/10/2022 |
| Token No | SM/22-23/7513 17/01/2023 | Serial | 018 |
| Patient Name | Mr. SITAL BAG | Contact No | 7278438149 |
| Address | 32/C TARAPUKUR LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||