Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10391 | Date 14/09/2023 |
| Token No | SM/24-25/16984 19/06/2024 | Serial | 038 |
| Patient Name | Mr. JHANTU DAS | Contact No | 9007062994 |
| Address | 206/A NEW MAHESH | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||