Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 04282 | Date 08/06/2023 |
| Token No | SM/22-23/9365 08/06/2023 | Serial | 006 |
| Patient Name | Mr. KASHINATH MAJHI | Contact No | 9007530348 |
| Address | 3 B L C MILLS ROAD SERAMPORE 712202 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||