Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10592 | Date 29/09/2023 |
| Token No | SM/22-23/12828 29/09/2023 | Serial | 028 |
| Patient Name | Mr. PRABHU MAHATO | Contact No | NOT GIVEN |
| Address | 6 NO. LINE, NAYA BAGAN | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||