Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05185 | Date 21/09/2023 |
| Token No | SM/24-25/23672 25/06/2024 | Serial | 016 |
| Patient Name | Mr. ANGIL BISWAS | Contact No | 9679114621 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||