Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12532 | Date 16/01/2025 |
| Token No | SM/24-25/20529 16/01/2025 | Serial | 006 |
| Patient Name | Mr. SHIBNATH GHOSHAL | Contact No | 9831880858 |
| Address | 5 JANNAGAR ROAD | Age | 70 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||