Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01971 | Date 25/04/2019 |
| Token No | SM/24-25/16963 19/06/2024 | Serial | 017 |
| Patient Name | Mr. SANTIMOY DEY | Contact No | 9477045309 |
| Address | 5A DEY STREET | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||