Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13439 | Date 01/09/2025 |
| Token No | SM/25-26/1821 01/09/2025 | Serial | 021 |
| Patient Name | Mr. MUNNA DAS | Contact No | 9883082578 |
| Address | 48A PATUAPARA LANE | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||