Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02975 | Date 03/09/2019 |
| Token No | SM/24-25/18026 08/08/2024 | Serial | 017 |
| Patient Name | Mr. ANANTA APPAT | Contact No | 9062843716 |
| Address | 44 B DR NANILAL BHATTACHARYA STRRET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||