Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12126 | Date 23/09/2024 |
| Token No | SM/24-25/18922 23/09/2024 | Serial | 001 |
| Patient Name | Mr. ASISH MAITY | Contact No | 9674808410 |
| Address | 48/C BHAGIRATHI LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||