Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09940 | Date 11/08/2023 |
| Token No | SM/24-25/20317 21/12/2024 | Serial | 006 |
| Patient Name | Mr. RAJU SINGH | Contact No | 9681059189 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||