Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09029 | Date 12/05/2023 |
| Token No | SM/22-23/9532 12/05/2023 | Serial | 020 |
| Patient Name | Mr. GOVINDA PRADHAN | Contact No | 8015946350 |
| Address | DHARMATALA | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||