Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05305 | Date 30/09/2023 |
| Token No | SM/22-23/13928 04/10/2023 | Serial | 045 |
| Patient Name | Mr. SURAJIT HAZRA | Contact No | 9734823157 |
| Address | BALARAMPUR HATI PURSURAH 712415 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||