Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03980 | Date 23/03/2023 |
| Token No | SM/22-23/7772 23/03/2023 | Serial | 036 |
| Patient Name | Mr. KABLU SAHA | Contact No | |
| Address | SERAMPORE | Age | 63 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||