Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11755 | Date 08/07/2024 |
| Token No | SM/24-25/17397 08/07/2024 | Serial | 006 |
| Patient Name | Mr. RAM AYODHYA ROY | Contact No | 8479848850 |
| Address | 26 N L B STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||