Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06525 | Date 27/07/2022 |
| Token No | SM/22-23/4128 27/07/2022 | Serial | 030 |
| Patient Name | Mr. LACHHMAN PRADHAN | Contact No | 9830948100 |
| Address | INDIA JUTE MILL | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||