Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05879 | Date 15/12/2023 |
| Token No | SM/22-23/16563 15/12/2023 | Serial | 017 |
| Patient Name | Mr. PREMANSHU ROY | Contact No | 9800926263 |
| Address | NANDAPUR PURBA MEDINIPUR 721625 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||