Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09818 | Date 01/08/2023 |
| Token No | SM/22-23/11281 01/08/2023 | Serial | 008 |
| Patient Name | Mr. AMARNATH DAS | Contact No | 9681411509 |
| Address | 41/B KHASBAGAN LANE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||