Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12053 | Date 03/09/2024 |
| Token No | SM/24-25/18564 03/09/2024 | Serial | 012 |
| Patient Name | Mr. SAGAR MANNA | Contact No | 9433066051 |
| Address | 49 /A/1 BHAGIRATHI LANE | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||