Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05238 | Date 05/01/2022 |
| Token No | SM/22-23/14060 03/01/2024 | Serial | 017 |
| Patient Name | Mr. TRINATH BISWAL | Contact No | 7044682218 |
| Address | 45 N L BHATTACHARJEE STREET | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||