Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12230 | Date 09/10/2024 |
| Token No | SM/24-25/19284 09/10/2024 | Serial | 011 |
| Patient Name | Mr. SUKANTA LAHA | Contact No | 9123751295 |
| Address | 18 P K B LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||