Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09890 | Date 07/08/2023 |
| Token No | SM/22-23/14564 01/02/2024 | Serial | 036 |
| Patient Name | Mr. ROHIT DAS | Contact No | 9123000585 |
| Address | 104 R.B. SARANI | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||