Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12321 | Date 12/11/2024 |
| Token No | SM/24-25/19658 12/11/2024 | Serial | 003 |
| Patient Name | Mr. SANTU DAS | Contact No | 8981218370 |
| Address | 573 G T ROAD, MANIKTALA | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||