Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05975 | Date 30/12/2023 |
| Token No | SM/22-23/18011 31/01/2024 | Serial | 052 |
| Patient Name | Mr. SANAT DUTTA | Contact No | 7278172532 |
| Address | 65/7/13 DINEN BHATTACHARJEE SARANI 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||