Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03824 | Date 23/02/2023 |
| Token No | SM/22-23/7024 23/02/2023 | Serial | 025 |
| Patient Name | Mr. NEMAI PAL | Contact No | |
| Address | MAHESHYAPARA CHOTO BELU SERAMPORE 712203 | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||