Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08076 | Date 22/10/2024 |
| Token No | SM/24-25/29888 22/10/2024 | Serial | 061 |
| Patient Name | Mr. SURAJIT GHARAMI | Contact No | 8944076912 |
| Address | MADHUSUDANPUR MANDIR BAZAR S 24 PRGS 743343 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||