Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10565 | Date 28/09/2023 |
| Token No | SM/24-25/16669 05/06/2024 | Serial | 007 |
| Patient Name | Mr. SANTU GHOSH | Contact No | 8017569029 |
| Address | 41/2 SITALA TALA ROAD, CHATRA (BAIDYABATI M) | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||