Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03479 | Date 23/12/2022 |
| Token No | SM/22-23/5611 24/12/2022 | Serial | 012 |
| Patient Name | Mr. UTTAM KUMAR MONDAL | Contact No | 9830441593 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||