Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09000 | Date 11/05/2023 |
| Token No | SM/22-23/9478 11/05/2023 | Serial | 003 |
| Patient Name | Mr. HARADHAN MUKHERJEE | Contact No | 8481039784 |
| Address | 70 THAKUR BATI STREET | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||