Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03073 | Date 19/09/2019 |
| Token No | SM/24-25/18292 21/08/2024 | Serial | 006 |
| Patient Name | Mr. SUBHASH CHANDRA APAT | Contact No | 8981649638 |
| Address | 2A A K C BHATTACHARYA STREET | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||