Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12591 | Date 30/01/2025 |
| Token No | SM/25-26/1934 08/09/2025 | Serial | 006 |
| Patient Name | Mr. SANJAY CH CHATTERJEE | Contact No | 9830740326 |
| Address | NALIKUL | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||