Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12197 | Date 04/10/2024 |
| Token No | SM/24-25/19176 04/10/2024 | Serial | 011 |
| Patient Name | Mr. KRISHNA ROY | Contact No | 6200947061 |
| Address | 11/327 COKREN ROAD SOUTH | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||