Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12187 | Date 01/10/2024 |
| Token No | SM/24-25/19138 01/10/2024 | Serial | 004 |
| Patient Name | Mr. DASHARATH DAS | Contact No | 9748712861 |
| Address | J N LAHIRI ROAD | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||