Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12630 | Date 07/02/2025 |
| Token No | SM/24-25/20867 07/02/2025 | Serial | 003 |
| Patient Name | Mr. DINABANDHU HALDER | Contact No | 8964704717 |
| Address | 62 SURYA SEN STREET, KONNAGAR | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||