Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11705 | Date 26/06/2024 |
| Token No | SM/24-25/17149 26/06/2024 | Serial | 003 |
| Patient Name | Mr. DILIP JAISWAL | Contact No | 9330666916 |
| Address | 40 T P BHATTACHARJEE ATREET | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||