Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12340 | Date 14/11/2024 |
| Token No | SM/24-25/19714 14/11/2024 | Serial | 021 |
| Patient Name | Mr. MEGHNATH SHA | Contact No | 8481859915 |
| Address | 6 NO RAM SITA LANE NAYA BAGAN | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||