Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12185 | Date 30/09/2024 |
| Token No | SM/24-25/19160 01/10/2024 | Serial | 026 |
| Patient Name | Mr. SATISH KUMAR KOIRI | Contact No | 9804629293 |
| Address | 28/1/C K.L.GOSWAMI SARANI SERAMPORE | Age | 19 Y Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||