Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12072 | Date 06/09/2024 |
| Token No | SM/24-25/18641 06/09/2024 | Serial | 011 |
| Patient Name | Mr. MUNILAL RAY | Contact No | 8481860610 |
| Address | 42 K.M. B. STREET | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||