Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08735 | Date 15/02/2025 |
| Token No | SM/24-25/35685 15/02/2025 | Serial | 010 |
| Patient Name | Mr. RAMESH CHANDRA ADAK | Contact No | 9647359565 |
| Address | MAGURIA PASCHIM MEDINIPUR 721153 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||