Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06467 | Date 25/07/2022 |
| Token No | SM/22-23/4028 25/07/2022 | Serial | 020 |
| Patient Name | Mr. JIBAN PRADHAN | Contact No | 9830748956 |
| Address | INDIA JUTE MILL | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||