Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11979 | Date 20/08/2024 |
| Token No | SM/24-25/18284 20/08/2024 | Serial | 027 |
| Patient Name | Mr. NARASINGHA SHAW | Contact No | 8013504432 |
| Address | N.L. BHATTACHARYA STREET | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||