Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 12253 | Date 21/10/2024 |
| Token No | SM/24-25/19377 21/10/2024 | Serial | 019 |
| Patient Name | Mr. SHIBU KARMAKAR | Contact No | 9903645736 |
| Address | MALLICKPARA | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||