Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11443 | Date 25/04/2024 |
| Token No | SM/24-25/15963 25/04/2024 | Serial | 001 |
| Patient Name | Mr. JOY CHAND BISWAL | Contact No | |
| Address | 9 NO INDIA JUTE MILL | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||