Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11887 | Date 02/08/2024 |
| Token No | SM/24-25/17878 02/08/2024 | Serial | 008 |
| Patient Name | Mr. CHANDRESWAR ROY | Contact No | 7277962603 |
| Address | DHARMATALA | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||