Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07115 | Date 25/06/2024 |
| Token No | SM/24-25/23670 25/06/2024 | Serial | 014 |
| Patient Name | Mr. ISRAFIL SEKH | Contact No | 7679014660 |
| Address | TENGRIDANGA GAYESHPUR SANTIPUR NADIA | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||