Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09154 | Date 23/05/2023 |
| Token No | SM/24-25/16863 13/06/2024 | Serial | 012 |
| Patient Name | Mr. NOKUL BISWAL | Contact No | 7569857595 |
| Address | 45 N L BHATTACHARJEE STREET | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||