Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 09226 | Date 02/06/2023 |
| Token No | SM/22-23/9937 02/06/2023 | Serial | 018 |
| Patient Name | Mr. PANKAJ KUMAR NANDI | Contact No | 9874364920 |
| Address | BAISNAB PARA 1ST LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||