Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04791 | Date 10/08/2023 |
| Token No | SM/22-23/11674 10/08/2023 | Serial | 064 |
| Patient Name | Mr. GANGA RAM DEBNATH | Contact No | 9433406908 |
| Address | 338/1 R B AVENUE BHADRESWAR 712124 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||