Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07871 | Date 02/12/2022 |
| Token No | SM/22-23/6777 02/12/2022 | Serial | 006 |
| Patient Name | Mr. CHAKRAPANI PRADHAN | Contact No | 8981875499 |
| Address | 9 NO LINE | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||