Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05750 | Date 28/11/2023 |
| Token No | SM/22-23/15880 28/11/2023 | Serial | 017 |
| Patient Name | Mr. BHUPAL DOLUI | Contact No | 8442964428 |
| Address | BAIDYABATI HOOGHLY 712222 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||