Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08326 | Date 10/02/2023 |
| Token No | SM/24-25/18579 04/09/2024 | Serial | 015 |
| Patient Name | Mr. AJAY DAS | Contact No | 9830586694 |
| Address | KALITALA | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||