Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12255 | Date 21/10/2024 |
| Token No | SM/24-25/19398 21/10/2024 | Serial | 040 |
| Patient Name | Mr. PRABIR PATRA | Contact No | 9831880874 |
| Address | 39A BHAGIRATHI LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||