Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11530 | Date 14/05/2024 |
| Token No | SM/24-25/16245 14/05/2024 | Serial | 005 |
| Patient Name | Mr. BHASKAR PRADHAN | Contact No | 9088184790 |
| Address | INDIA JUTE MILL | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||