Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06132 | Date 17/06/2022 |
| Token No | SM/24-25/16550 29/05/2024 | Serial | 017 |
| Patient Name | Mr. AMIT LAHA | Contact No | 9433887840 |
| Address | 646 G T ROAD | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||