Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10736 | Date 06/11/2023 |
| Token No | SM/22-23/13186 06/11/2023 | Serial | 009 |
| Patient Name | Mr. RANJIT KUMAR DAS | Contact No | 7596941013 |
| Address | R.B. SARANI | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||