Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02759 | Date 23/09/2022 |
| Token No | SM/22-23/2957 23/09/2022 | Serial | 021 |
| Patient Name | Mr. SHAMAL MAJHI | Contact No | 9348029500 |
| Address | 6/A HARIPARA LANE SERAMPORE 712203 | Age | 41 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||