Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 01206 | Date 07/09/2018 |
| Token No | SM/22-23/9267 28/04/2023 | Serial | 029 |
| Patient Name | Mr. SOUGATA SAHA | Contact No | 9477502081 |
| Address | THAKUR BATI STREET | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||