Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11240 | Date 06/03/2024 |
| Token No | SM/22-23/15085 06/03/2024 | Serial | 027 |
| Patient Name | Mr. KAMAL DIG | Contact No | 9830709184 |
| Address | 37 BHAGIRATHI LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||