Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08458 | Date 24/02/2023 |
| Token No | SM/22-23/8071 24/02/2023 | Serial | 010 |
| Patient Name | Mr. GOPAL CHANDRA DEY | Contact No | 8420352646 |
| Address | 35A CHATRA BARUI PARA | Age | 71 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||