Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12334 | Date 14/11/2024 |
| Token No | SM/24-25/19697 14/11/2024 | Serial | 004 |
| Patient Name | Mr. JISHAN KHAN | Contact No | 9631149504 |
| Address | A K C BHATTACHARJEE STREET | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||