Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06607 | Date 22/04/2024 |
| Token No | SM/24-25/20985 22/04/2024 | Serial | 029 |
| Patient Name | Mr. KALI SAMANTA | Contact No | 8961140365 |
| Address | R K BANERJEE STREET BHADRESWAR TELINIPARA 712125 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||