Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07682 | Date 14/08/2024 |
| Token No | SM/24-25/26664 14/08/2024 | Serial | 064 |
| Patient Name | Mr. NAYAN PAL | Contact No | 7603048038 |
| Address | GHORAMARA PURBA PARA SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||