Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04212 | Date 31/03/2021 |
| Token No | SM/24-25/18842 18/09/2024 | Serial | 027 |
| Patient Name | Mr. MANOJ KUMAR DHAR | Contact No | NOT GIVEN |
| Address | 111/B J N LAHIRI ROAD | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||