Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12160 | Date 28/09/2024 |
| Token No | SM/24-25/19065 28/09/2024 | Serial | 018 |
| Patient Name | Mr. SK SAHEB ALI | Contact No | 9830427335 |
| Address | 9 A K C BHATTACAHRJEE STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||