Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12351 | Date 16/11/2024 |
| Token No | SM/24-25/19747 16/11/2024 | Serial | 005 |
| Patient Name | Mr. SRIKANTA LAHA | Contact No | 8013280576 |
| Address | 14 KHASH BAGAN LANE | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||