Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08925 | Date 29/04/2023 |
| Token No | SM/22-23/9285 29/04/2023 | Serial | 007 |
| Patient Name | Mr. MADHU CHATTERJEE | Contact No | 8015874890 |
| Address | AKHRA BATI LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||