Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06170 | Date 21/06/2022 |
| Token No | SM/24-25/17547 16/07/2024 | Serial | 007 |
| Patient Name | Mr. PRITTHI DAS | Contact No | 6289606964 |
| Address | 106/A R.B SARANI | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||