Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11198 | Date 28/02/2024 |
| Token No | SM/22-23/14963 28/02/2024 | Serial | 001 |
| Patient Name | Mr. NANDKISHORE MAHATO | Contact No | |
| Address | INDIA JUTE MILL | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||