Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11752 | Date 08/07/2024 |
| Token No | SM/24-25/17392 08/07/2024 | Serial | 001 |
| Patient Name | Mr. BARHAM DEB ROY | Contact No | NOT GIVEN |
| Address | BSNL OFFICE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||