Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05399 | Date 11/10/2023 |
| Token No | SM/22-23/14229 11/10/2023 | Serial | 001 |
| Patient Name | Mr. RAHUL MAJHI | Contact No | 9330494078 |
| Address | 3 B L C MILLS ROAD SERAMPORE MAHESH 712202 | Age | 37 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||