Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02524 | Date 22/07/2019 |
| Token No | SM/24-25/18686 09/09/2024 | Serial | 019 |
| Patient Name | Mr. RABINDRANATH MAJUMDAR | Contact No | NOT GIVEN |
| Address | 12 K.C.LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||