Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08403 | Date 17/12/2024 |
| Token No | SM/24-25/32869 17/12/2024 | Serial | 021 |
| Patient Name | Mr. SEKH SURAJ ALI | Contact No | 6291431483 |
| Address | GOPALNAGAR KAMARKUNDU 712460 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||