Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08173 | Date 09/11/2024 |
| Token No | SM/24-25/30786 09/11/2024 | Serial | 014 |
| Patient Name | Mr. KALICHARAN SHAW | Contact No | 6291815630 |
| Address | GOURIPUR TELIAPARA LICHUPARA NAIHATI N 24 PRGS 743661 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||