Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04700 | Date 03/08/2023 |
| Token No | SM/22-23/11301 03/08/2023 | Serial | 042 |
| Patient Name | Mr. BISWAJIT SADHUKHAN | Contact No | 9088144851 |
| Address | DAIPUKUR PANDUA HOOGHLY 712149 | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||