Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11795 | Date 16/07/2024 |
| Token No | SM/24-25/17542 16/07/2024 | Serial | 002 |
| Patient Name | Mr. ANKAN GHOSH | Contact No | 9748569281 |
| Address | 66 DEY STREET | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||