Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11243 | Date 06/03/2024 |
| Token No | SM/22-23/15090 06/03/2024 | Serial | 032 |
| Patient Name | Mr. SRI KUMAR DAS | Contact No | 7449506024 |
| Address | 122 R.B. SARANI | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||