Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11537 | Date 15/05/2024 |
| Token No | SM/24-25/17756 26/07/2024 | Serial | 016 |
| Patient Name | Mr. ARUN DAS | Contact No | 9330263139 |
| Address | 40/A POTUA PARA LANE | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||