Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07345 | Date 19/10/2022 |
| Token No | SM/22-23/5700 19/10/2022 | Serial | 037 |
| Patient Name | Mr. SOURAV PARUI | Contact No | 8013270238 |
| Address | NALIKUL | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||