Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02394 | Date 04/08/2022 |
| Token No | SM/22-23/1846 04/08/2022 | Serial | 002 |
| Patient Name | Mr. MADHYAM HALDER | Contact No | 9051562746 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||