Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08812 | Date 21/04/2023 |
| Token No | SM/22-23/9049 21/04/2023 | Serial | 069 |
| Patient Name | Mr. BIJAY KUMAR DAS | Contact No | 9051253437 |
| Address | 104 R.B. SARANI | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||