Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11429 | Date 22/04/2024 |
| Token No | SM/24-25/15894 22/04/2024 | Serial | 035 |
| Patient Name | Mr. KAMAL DEY | Contact No | 9830709184 |
| Address | 37 BHAGIRATHI LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||