Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09205 | Date 01/06/2023 |
| Token No | SM/22-23/13818 15/12/2023 | Serial | 008 |
| Patient Name | Mr. SRINIBAS BARAT | Contact No | 9432996048 |
| Address | 9 INDIA JUTE MILL | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||