Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06030 | Date 08/01/2024 |
| Token No | SM/22-23/17313 08/01/2024 | Serial | 029 |
| Patient Name | Mr. PINTU DAS | Contact No | 9038573773 |
| Address | TELIPARA BAGER BAGAN CHATRA 712204 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||