Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06063 | Date 10/06/2022 |
| Token No | SM/22-23/3338 10/06/2022 | Serial | 016 |
| Patient Name | Mr. NIRMAL PAL | Contact No | 9678500251 |
| Address | CHATRA | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||