Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07275 | Date 01/07/2024 |
| Token No | SM/24-25/24111 01/07/2024 | Serial | 020 |
| Patient Name | Mr. MANSA ROY | Contact No | 9836232143 |
| Address | 102 BHATTACHARJEE GARDEN BYE LANE BAIDYABATI M 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||