Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06661 | Date 08/08/2022 |
| Token No | SM/24-25/16293 16/05/2024 | Serial | 012 |
| Patient Name | Mr. AMIT MANNA | Contact No | 9674859877 |
| Address | 38D KHATIR BAZAR | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||