Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08130 | Date 06/01/2023 |
| Token No | SM/22-23/7401 06/01/2023 | Serial | 016 |
| Patient Name | Mr. AJAY KUMAR MAJHI | Contact No | 6291681703 |
| Address | 18/62 DR. N L BHATTACHARJEE STREET | Age | 35 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||