Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11574 | Date 28/05/2024 |
| Token No | SM/24-25/16532 28/05/2024 | Serial | 020 |
| Patient Name | Mr. KAMLESH ROY | Contact No | 9330607750 |
| Address | INDIA JUTE MILL | Age | 34 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||