Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09739 | Date 24/07/2023 |
| Token No | SM/22-23/11129 24/07/2023 | Serial | 001 |
| Patient Name | Mr. DIPAK MAJHI | Contact No | 8961667842 |
| Address | 55 RAYLAND ROAD | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||