Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06072 | Date 17/01/2024 |
| Token No | SM/22-23/17561 17/01/2024 | Serial | 046 |
| Patient Name | Mr. TAPAS BHUIYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||