Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02989 | Date 28/10/2022 |
| Token No | SM/22-23/3798 28/10/2022 | Serial | 018 |
| Patient Name | Mr. BIJAY DEBI | Contact No | 9883185146 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||