Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03005 | Date 31/10/2022 |
| Token No | SM/22-23/3878 31/10/2022 | Serial | 015 |
| Patient Name | Mr. BABLU BISWAS | Contact No | 9679618132 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||