Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11472 | Date 03/05/2024 |
| Token No | SM/24-25/16977 19/06/2024 | Serial | 031 |
| Patient Name | Mr. TUNTUN SINGH | Contact No | 9117669972 |
| Address | BANERJEE PARA | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||