Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03181 | Date 18/11/2022 |
| Token No | SM/22-23/4521 18/11/2022 | Serial | 014 |
| Patient Name | Mr. AMIT MUKHERJEE | Contact No | 6290638746 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||