Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02635 | Date 06/09/2022 |
| Token No | SM/22-23/4761 26/11/2022 | Serial | 008 |
| Patient Name | Mr. NARAYAN SUTRADHAR | Contact No | 9062270843 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||