Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12371 | Date 22/11/2024 |
| Token No | SM/24-25/19834 22/11/2024 | Serial | 007 |
| Patient Name | Mr. ADHIR KUMAR ROY | Contact No | 8274905928 |
| Address | 18 NO LINE DHARMATALA | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||