Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00075 | Date 11/09/2019 |
| Token No | SM/24-25/22960 10/06/2024 | Serial | 032 |
| Patient Name | Mr. HIRALAL RAM | Contact No | 8013510473 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||