Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12299 | Date 06/11/2024 |
| Token No | SM/24-25/19583 06/11/2024 | Serial | 001 |
| Patient Name | Mr. SOMNATH BARAT | Contact No | 8910504620 |
| Address | 70 AKHRA BATI LANE | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||