Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12395 | Date 25/11/2024 |
| Token No | SM/24-25/19890 25/11/2024 | Serial | 036 |
| Patient Name | Mr. DEBASISH ACHARYA | Contact No | 9477997417 |
| Address | PHASE 1 AMULYA HOUSING | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||