Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11617 | Date 06/06/2024 |
| Token No | SM/24-25/19815 21/11/2024 | Serial | 010 |
| Patient Name | Mr. SHANKAR DUTTA | Contact No | 9007149473 |
| Address | 6 MUSALMANPARA LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||