Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12574 | Date 25/01/2025 |
| Token No | SM/24-25/20700 25/01/2025 | Serial | 020 |
| Patient Name | Mr. ALOKE BHATTACHARYA | Contact No | 9674983180 |
| Address | INDRAPURI, ICHAPUR, NABAGANJ | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||