Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11896 | Date 05/08/2024 |
| Token No | SM/24-25/17929 05/08/2024 | Serial | 031 |
| Patient Name | Mr. ROBI DAS | Contact No | 7044157665 |
| Address | 47 DHULIPARA | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||