Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04067 | Date 18/04/2023 |
| Token No | SM/22-23/8309 18/04/2023 | Serial | 038 |
| Patient Name | Mr. NABAKUMAR DAS | Contact No | 8158829947 |
| Address | BELGACHI SOMRA 712123 | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||