Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12166 | Date 30/09/2024 |
| Token No | SM/24-25/19104 30/09/2024 | Serial | 028 |
| Patient Name | Mr. BIJAY KUMAR ROY | Contact No | 8584961955 |
| Address | 8 NO LINE | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||