Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08277 | Date 25/11/2024 |
| Token No | SM/24-25/32291 05/12/2024 | Serial | 022 |
| Patient Name | Mr. DIPAK CHAKRABORTY | Contact No | 6289897310 |
| Address | GHORAMARA MALLICKPARA 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||