Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12009 | Date 28/08/2024 |
| Token No | SM/24-25/18431 28/08/2024 | Serial | 036 |
| Patient Name | Mr. BISWAJIT DEBNATH | Contact No | 6291130387 |
| Address | A.B. GARDEN LANE | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||