Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06594 | Date 03/08/2022 |
| Token No | SM/22-23/15335 18/03/2024 | Serial | 024 |
| Patient Name | Mr. BEDABAR PRADHAN | Contact No | 9163119124 |
| Address | 434/8 COCKRAIN ROAD | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||