Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08460 | Date 24/02/2023 |
| Token No | SM/22-23/8079 24/02/2023 | Serial | 018 |
| Patient Name | Mr. SAMBHUNATH PAL | Contact No | 9830045006 |
| Address | 36 CHATRA KUMAR PARA SERAMPORE | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||