Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09618 | Date 13/07/2023 |
| Token No | SM/22-23/10859 13/07/2023 | Serial | 018 |
| Patient Name | Mr. RANJIT THAKUR | Contact No | 9123903953 |
| Address | 10 DEY STREET | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||