Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03388 | Date 12/12/2022 |
| Token No | SM/22-23/5241 12/12/2022 | Serial | 052 |
| Patient Name | Mr. BABU DAS | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||