Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07945 | Date 25/09/2024 |
| Token No | SM/24-25/28719 25/09/2024 | Serial | 027 |
| Patient Name | Mr. SAMBHU CHARAN PATRA | Contact No | 9239260359 |
| Address | 97 MALLICKPARA LANE SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||