Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11837 | Date 23/07/2024 |
| Token No | SM/24-25/17694 23/07/2024 | Serial | 008 |
| Patient Name | Mr. SUKDEB SRIMANI | Contact No | 9748376484 |
| Address | 27D PANCHANAN TALA | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||