Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11893 | Date 05/08/2024 |
| Token No | SM/24-25/17902 05/08/2024 | Serial | 004 |
| Patient Name | Mr. BADRINATH PAL | Contact No | 9163774319 |
| Address | J.N. LAHIRI ROAD | Age | 86 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||