Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03470 | Date 22/11/2019 |
| Token No | SM/24-25/15895 22/04/2024 | Serial | 036 |
| Patient Name | Mr. RADHAKRISHNA BISWAL | Contact No | NOT GIVEN |
| Address | 52 N L BHATTACHARJEE STREET | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||