Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11092 | Date 05/02/2024 |
| Token No | SM/22-23/14580 05/02/2024 | Serial | 009 |
| Patient Name | Mr. BABURAM BASURAY | Contact No | 9474360808 |
| Address | 87 G.T. ROAD | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||