Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09914 | Date 09/08/2023 |
| Token No | SM/22-23/11487 09/08/2023 | Serial | 005 |
| Patient Name | Mr. PALASH BAURI | Contact No | 9874991712 |
| Address | 55 RAY LAND ROAD | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||