Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12607 | Date 31/01/2025 |
| Token No | SM/24-25/20813 31/01/2025 | Serial | 002 |
| Patient Name | Mr. SUBRATA GHOSH | Contact No | 9674867177 |
| Address | 29 DOSTY LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||