Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08741 | Date 17/02/2025 |
| Token No | SM/24-25/35754 17/02/2025 | Serial | 029 |
| Patient Name | Mr. RAJ KUMAR MAJHI | Contact No | 8981390525 |
| Address | 27 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||