Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07560 | Date 09/11/2022 |
| Token No | SM/22-23/6120 09/11/2022 | Serial | 013 |
| Patient Name | Mr. SANTOSH DAS | Contact No | 7595845103 |
| Address | 13 LBS ROAD | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||