Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02845 | Date 07/10/2022 |
| Token No | SM/22-23/3256 07/10/2022 | Serial | 006 |
| Patient Name | Mr. UMESH MAHTO | Contact No | 9263459451 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||