Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08425 | Date 22/02/2023 |
| Token No | SM/22-23/8022 22/02/2023 | Serial | 011 |
| Patient Name | Mr. KASHINATH SADHUKHAN | Contact No | 9681065397 |
| Address | 3 DHARMATALA LANE, CHATRA | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||