Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05212 | Date 22/09/2023 |
| Token No | SM/22-23/13404 22/09/2023 | Serial | 025 |
| Patient Name | Mr. ASIT MALIK | Contact No | 7430050400 |
| Address | GORAB HOOGHLY | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||