Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08008 | Date 23/12/2022 |
| Token No | SM/24-25/16175 10/05/2024 | Serial | 006 |
| Patient Name | Mr. JENTU SEKH | Contact No | 9775292353 |
| Address | 5 NO MALLICKPARA | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||