Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07983 | Date 04/10/2024 |
| Token No | SM/24-25/29104 04/10/2024 | Serial | 067 |
| Patient Name | Mr. SARAT DAS | Contact No | 6295063552 |
| Address | AIDA KISMAT AIDAKISMAT 712512 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||