Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09584 | Date 10/07/2023 |
| Token No | SM/22-23/10769 10/07/2023 | Serial | 021 |
| Patient Name | Mr. CHIRANTAN MAJHI | Contact No | 9435286409 |
| Address | NABAKRISHNA GUIN LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||