Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07373 | Date 05/07/2024 |
| Token No | SM/24-25/24504 05/07/2024 | Serial | 054 |
| Patient Name | Mr. UDAY DAS | Contact No | 9748972849 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||