Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06473 | Date 23/03/2024 |
| Token No | SM/22-23/20326 30/03/2024 | Serial | 042 |
| Patient Name | Mr. RATAN SIL | Contact No | 9088336698 |
| Address | RAMKRISHNA PALLY DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||