Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11328 | Date 28/03/2024 |
| Token No | SM/24-25/16305 16/05/2024 | Serial | 024 |
| Patient Name | Mr. MD WASIM | Contact No | 9330830490 |
| Address | 41 K.M. BHATTACHARYA STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||