Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06842 | Date 23/05/2024 |
| Token No | SM/24-25/22223 23/05/2024 | Serial | 047 |
| Patient Name | Mr. RAJA SINGH | Contact No | 9163841618 |
| Address | 12E M D LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||