Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06777 | Date 13/05/2024 |
| Token No | SM/24-25/21898 13/05/2024 | Serial | 060 |
| Patient Name | Mr. BHAIRAB DAS | Contact No | 9874560805 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||