Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06020 | Date 08/01/2024 |
| Token No | SM/22-23/17459 13/01/2024 | Serial | 031 |
| Patient Name | Mr. BIJAN DAS | Contact No | 8420091809 |
| Address | DOMJUR HOWRAH 711405 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||