Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12439 | Date 09/12/2024 |
| Token No | SM/24-25/20103 09/12/2024 | Serial | 022 |
| Patient Name | Mr. MUKESH BHUIYA | Contact No | 6290696264 |
| Address | J.N. LAHIRI ROAD | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||