Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01077 | Date 05/10/2018 |
| Token No | SM/24-25/20578 17/01/2025 | Serial | 028 |
| Patient Name | Mr. SOUMEN JANA | Contact No | 7005123069 |
| Address | INDIA JUTE MILL | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||