Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03046 | Date 03/11/2022 |
| Token No | SM/22-23/4019 03/11/2022 | Serial | 033 |
| Patient Name | Mr. DEEP PAL | Contact No | 9748505972 |
| Address | GHORAMARA MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||