Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12405 | Date 28/11/2024 |
| Token No | SM/24-25/19961 28/11/2024 | Serial | 012 |
| Patient Name | Mr. SUBIR CHAKRABORTY | Contact No | 9874817557 |
| Address | 3 KAILASH CHATTERJEE LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||