Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11939 | Date 12/08/2024 |
| Token No | SM/24-25/18114 12/08/2024 | Serial | 003 |
| Patient Name | Mr. SANJOY SHIL | Contact No | 8697446695 |
| Address | 71A1/2 PATUA PARA LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||