Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00645 | Date 02/01/2020 |
| Token No | SM/22-23/11253 02/08/2023 | Serial | 036 |
| Patient Name | Mr. BIBHUTIBHUSAN PAN | Contact No | 9674569249 |
| Address | 34 THAKUR DAS BABU LANE SERAMPORE | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||