Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 01579 | Date 17/01/2019 |
| Token No | SM/22-23/14670 08/02/2024 | Serial | 019 |
| Patient Name | Mr. SUDHIR CHANDRA DAS | Contact No | NOT GIVEN |
| Address | 541/A G T ROAD | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||