Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11876 | Date 31/07/2024 |
| Token No | SM/24-25/20802 30/01/2025 | Serial | 025 |
| Patient Name | Mr. SANTI RAM CHATTOPADHYAY | Contact No | 9830213656 |
| Address | 10 ANNADABABU GARDEN LANE | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||