Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08199 | Date 31/01/2023 |
| Token No | SM/24-25/16198 13/05/2024 | Serial | 004 |
| Patient Name | Mr. SHANKAR DAS | Contact No | 9143252940 |
| Address | 132 PATUA PARA | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||