Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01873 | Date 10/06/2022 |
| Token No | SM/22-23/1121 06/07/2022 | Serial | 012 |
| Patient Name | Mr. SHATADAL MUKHERJEE | Contact No | 9433569097 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||