Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07772 | Date 30/08/2024 |
| Token No | SM/24-25/31279 18/11/2024 | Serial | 006 |
| Patient Name | Mr. GOUTAM SEN | Contact No | 8617252274 |
| Address | BAROJIBI COLONY KANAIPUR RISHRA 712250 | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||