Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07928 | Date 21/09/2024 |
| Token No | SM/24-25/28536 21/09/2024 | Serial | 009 |
| Patient Name | Mr. DHANANJAY DAS | Contact No | 9831104336 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||