Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08627 | Date 23/03/2023 |
| Token No | SM/22-23/8503 23/03/2023 | Serial | 014 |
| Patient Name | Mr. ASISH KUMAR DEY | Contact No | 9007961248 |
| Address | BORO BELU | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||