Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05000 | Date 29/08/2023 |
| Token No | SM/22-23/12486 29/08/2023 | Serial | 021 |
| Patient Name | Mr. RAMJAN ALI | Contact No | 9562615837 |
| Address | LOKRIGOLA GORAKHHA PARANPUR MALDA 732204 | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||