Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04078 | Date 24/04/2023 |
| Token No | SM/22-23/17612 18/01/2024 | Serial | 048 |
| Patient Name | Mr. BABU MAJUMDER | Contact No | 9475100476 |
| Address | AMULYA KANAN SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||