Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12097 | Date 12/09/2024 |
| Token No | SM/24-25/18778 12/09/2024 | Serial | 015 |
| Patient Name | Mr. ARUP DAS | Contact No | 8240752782 |
| Address | 11 DEY BAGAN LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||