Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11775 | Date 11/07/2024 |
| Token No | SM/24-25/17461 11/07/2024 | Serial | 012 |
| Patient Name | Mr. SUKUMAR DAS | Contact No | 8017284432 |
| Address | 560 G.T. ROAD, MANIKTALA | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||