Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06581 | Date 01/08/2022 |
| Token No | SM/24-25/16294 16/05/2024 | Serial | 013 |
| Patient Name | Mr. MD IRFAN | Contact No | NOT GIVEN |
| Address | K.C.BHATTACHARYA ST | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||