Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08333 | Date 02/12/2024 |
| Token No | SM/24-25/32128 02/12/2024 | Serial | 046 |
| Patient Name | Mr. BISWANATH MONDAL | Contact No | |
| Address | MILKI BADAMTALA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||