Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03065 | Date 17/09/2019 |
| Token No | SM/24-25/18144 13/08/2024 | Serial | 008 |
| Patient Name | Mr. RABINDRA NATH DAS | Contact No | NOT GIVEN |
| Address | 19 PATUA PARA LANE | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||