Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12336 | Date 14/11/2024 |
| Token No | SM/24-25/19707 14/11/2024 | Serial | 014 |
| Patient Name | Mr. SOURABH PAL | Contact No | 8961250738 |
| Address | 55 DHULIPARA, BOTTALA | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||