Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05414 | Date 12/10/2023 |
| Token No | SM/24-25/24661 08/07/2024 | Serial | 055 |
| Patient Name | Mr. MRITYUNJOY BANDURY | Contact No | 9836800810 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||