Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06028 | Date 08/01/2024 |
| Token No | SM/22-23/17308 08/01/2024 | Serial | 024 |
| Patient Name | Mr. SHYAMAL DAS | Contact No | 6291029814 |
| Address | BALARAMBATI PASCHIMPARA SINGUR | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||