Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11879 | Date 01/08/2024 |
| Token No | SM/24-25/17850 01/08/2024 | Serial | 006 |
| Patient Name | Mr. SUNIL DAS | Contact No | 9433739789 |
| Address | BHAGIRATHI LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||