Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06060 | Date 10/06/2022 |
| Token No | SM/22-23/3334 10/06/2022 | Serial | 012 |
| Patient Name | Mr. SAMIR KAR | Contact No | 9834859005 |
| Address | K M SHA STREET | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||