Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04052 | Date 13/04/2023 |
| Token No | SM/22-23/8197 13/04/2023 | Serial | 014 |
| Patient Name | Mr. RABI DEBNATH | Contact No | |
| Address | 43/14/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||