Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11151 | Date 20/02/2024 |
| Token No | SM/22-23/14793 20/02/2024 | Serial | 002 |
| Patient Name | Mr. RAGHUNATH PRADHAN | Contact No | 8017111768 |
| Address | INDIA JUTE MILL 6 NO LINE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||