Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12213 | Date 07/10/2024 |
| Token No | SM/24-25/19231 07/10/2024 | Serial | 018 |
| Patient Name | Mr. SUKUMAR DAS. | Contact No | 9978854611 |
| Address | 20 KHASBAGAN LANE (FLAT NO. 102) | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||