Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11804 | Date 18/07/2024 |
| Token No | SM/24-25/17571 18/07/2024 | Serial | 013 |
| Patient Name | Mr. RAM BILAS RAY | Contact No | 9939494124 |
| Address | DEY STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||