Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05006 | Date 29/08/2023 |
| Token No | SM/22-23/12511 29/08/2023 | Serial | 046 |
| Patient Name | Mr. SUKUMAR KHETRAPAL | Contact No | 7811924607 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||