Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12394 | Date 25/11/2024 |
| Token No | SM/24-25/19888 25/11/2024 | Serial | 034 |
| Patient Name | Mr. AMIT TAPADAR | Contact No | 8420172408 |
| Address | 3/26/A RAYLAND CIRCULAR ROAD | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||