Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05423 | Date 13/10/2023 |
| Token No | SM/22-23/14355 13/10/2023 | Serial | 010 |
| Patient Name | Mr. MANIK PAL | Contact No | 8145626825 |
| Address | RAJBOL HAT ,JANGIPARA 712408 WORKING IN STANDRD PHARMACY | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||