Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06435 | Date 15/03/2024 |
| Token No | SM/22-23/19869 15/03/2024 | Serial | 016 |
| Patient Name | Mr. SAMIR GHOSH | Contact No | 7602476777 |
| Address | PANDUA PANDUA HOOGHLY 712149 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||