Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12784 | Date 17/03/2025 |
| Token No | SM/24-25/21340 17/03/2025 | Serial | 013 |
| Patient Name | Mr. DHIRAJ GHOSH | Contact No | 9007554639 |
| Address | 13C SANIPARA LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||