Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07065 | Date 16/09/2022 |
| Token No | SM/22-23/8527 24/03/2023 | Serial | 006 |
| Patient Name | Mr. RAJESWAR MAHATO | Contact No | 8830981483 |
| Address | 14 B DEY STREET | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||