Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05158 | Date 16/09/2023 |
| Token No | SM/22-23/13170 16/09/2023 | Serial | 020 |
| Patient Name | Mr. GOUTAM TARAI | Contact No | 8017804428 |
| Address | JALPAI PART 1 PURBA MEDINIPUR 721656 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||