Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04643 | Date 22/07/2021 |
| Token No | SM/24-25/18992 25/09/2024 | Serial | 006 |
| Patient Name | Mr. SAHADEB SAHA | Contact No | NOT GIVEN |
| Address | BANERJEE PARA | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||