Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11383 | Date 08/04/2024 |
| Token No | SM/24-25/15654 08/04/2024 | Serial | 013 |
| Patient Name | Mr. RUPAM DAS | Contact No | 9674192141 |
| Address | 24 AKHRABATI LANE | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||