Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11602 | Date 03/06/2024 |
| Token No | SM/24-25/16643 03/06/2024 | Serial | 030 |
| Patient Name | Mr. KARAN DAS | Contact No | 9681216681 |
| Address | 48/A PATUA PARA LANE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||