Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11497 | Date 09/05/2024 |
| Token No | SM/24-25/16125 09/05/2024 | Serial | 024 |
| Patient Name | Mr. KRIPANATH DEY | Contact No | |
| Address | 27 JANNAGAR ROAD | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||