Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11470 | Date 02/05/2024 |
| Token No | SM/24-25/16038 02/05/2024 | Serial | 021 |
| Patient Name | Mr. ASHOK PAKIRA | Contact No | 9330510194 |
| Address | 22 ASUITOSH CHATTERJEE LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||