Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 12350 | Date 16/11/2024 |
| Token No | SM/24-25/19744 16/11/2024 | Serial | 002 |
| Patient Name | Mr. ANIL SAHA | Contact No | |
| Address | 12A MIAJAN DORJEE LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||