Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02823 | Date 16/08/2019 |
| Token No | SM/22-23/15425 27/03/2024 | Serial | 005 |
| Patient Name | Mr. RAGHUNATH BISWAL | Contact No | 9903297336 |
| Address | 9 NO LINE, INDIA JUTE MILL | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||