Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07317 | Date 18/10/2022 |
| Token No | SM/22-23/5642 18/10/2022 | Serial | 027 |
| Patient Name | Mr. SUBHAS BARAD | Contact No | 9088494430 |
| Address | 12F DHARMATALA | Age | 35 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||