Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03758 | Date 15/02/2023 |
| Token No | SM/22-23/6802 15/02/2023 | Serial | 021 |
| Patient Name | Mr. GAUTAM MAJHI | Contact No | 9681095317 |
| Address | RAJYADHARPUR SERAMPORE 712203 | Age | 43 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||