Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11335 | Date 30/03/2024 |
| Token No | SM/22-23/15526 30/03/2024 | Serial | 002 |
| Patient Name | Mr. JOGINDRA PRASAD RAM | Contact No | 9861624138 |
| Address | MANIKTALA DEY BAGAN | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||