Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04247 | Date 29/05/2023 |
| Token No | SM/22-23/9168 29/05/2023 | Serial | 019 |
| Patient Name | Mr. NARESH KARMAKAR | Contact No | 9339371036 |
| Address | 3 NO HARISABHA RISHRA M | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||