Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06266 | Date 04/07/2022 |
| Token No | SM/22-23/3723 04/07/2022 | Serial | 005 |
| Patient Name | Mr. TAMAL PAL | Contact No | 9433668870 |
| Address | 29/B AKHRA BATI LANE | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||