Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08038 | Date 28/12/2022 |
| Token No | SM/24-25/15980 25/04/2024 | Serial | 018 |
| Patient Name | Mr. ASHOK KUMAR SHAW | Contact No | 9330167156 |
| Address | 22 L B S ROAD | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||