Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11805 | Date 18/07/2024 |
| Token No | SM/24-25/17575 18/07/2024 | Serial | 017 |
| Patient Name | Mr. AMARNATH LAHA | Contact No | 6291258774 |
| Address | 10/A DUTTA BAGAN LANE | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||