Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11479 | Date 06/05/2024 |
| Token No | SM/24-25/16071 06/05/2024 | Serial | 012 |
| Patient Name | Mr. RAM ADAR ROY | Contact No | |
| Address | 18NO. LINE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||