Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11531 | Date 14/05/2024 |
| Token No | SM/24-25/16246 14/05/2024 | Serial | 006 |
| Patient Name | Mr. KEDAR SHA | Contact No | 9097141089 |
| Address | 6 NO RAM SITA LANE, NAYA BAGAN | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||