Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09252 | Date 05/06/2023 |
| Token No | SM/22-23/14961 27/02/2024 | Serial | 013 |
| Patient Name | Mr. PRAHLAD DAS | Contact No | NOT GIVEN |
| Address | 55 RAILAND ROAD | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||