Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05690 | Date 21/11/2023 |
| Token No | SM/22-23/15634 21/11/2023 | Serial | 005 |
| Patient Name | Mr. NIKHIL PAL | Contact No | 7603048038 |
| Address | GHORAMARA PURBA PARA SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||