Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12062 | Date 04/09/2024 |
| Token No | SM/24-25/18594 04/09/2024 | Serial | 030 |
| Patient Name | Mr. BHOLANATH MITRA | Contact No | 9432978331 |
| Address | 56 K M SHA STREET | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||