Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11241 | Date 06/03/2024 |
| Token No | SM/22-23/15088 06/03/2024 | Serial | 030 |
| Patient Name | Mr. SAMBHU BAG | Contact No | 7439831296 |
| Address | 31 JANNAGAR ROAD | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||