Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 11767 | Date 10/07/2024 |
| Token No | SM/24-25/17436 10/07/2024 | Serial | 019 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 9433615125 |
| Address | 113B G T ROAD | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||