Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03592 | Date 09/01/2023 |
| Token No | SM/22-23/8473 28/04/2023 | Serial | 005 |
| Patient Name | Mr. MUNESWAR DAS | Contact No | 9758503541 |
| Address | PANDIT SATGHARA MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||