Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07570 | Date 03/08/2024 |
| Token No | SM/24-25/25950 03/08/2024 | Serial | 002 |
| Patient Name | Mr. JOGINDRA THAKUR | Contact No | 9007303090 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||