Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11563 | Date 23/05/2024 |
| Token No | SM/24-25/16448 23/05/2024 | Serial | 018 |
| Patient Name | Mr. ASUTOSH PAL | Contact No | 8420011374 |
| Address | 52/E G T ROAD, CHATRA | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||