Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06206 | Date 24/06/2022 |
| Token No | SM/24-25/16552 29/05/2024 | Serial | 019 |
| Patient Name | Mr. TARUN KUMAR DAS | Contact No | 8697358549 |
| Address | 70/C/2 POTUA PARA | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||