Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06326 | Date 21/02/2024 |
| Token No | SM/22-23/18885 21/02/2024 | Serial | 035 |
| Patient Name | Mr. DEBABRATA CHAKRABORTY | Contact No | 9836001430 |
| Address | 45/5/A N K BANERJEE STREET RISHRA 712248 | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||