Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11538 | Date 15/05/2024 |
| Token No | SM/24-25/17757 26/07/2024 | Serial | 017 |
| Patient Name | Mr. AJOY ROY | Contact No | 8709516063 |
| Address | 5 R B SARANI | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||