Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07024 | Date 12/09/2022 |
| Token No | SM/24-25/16763 10/06/2024 | Serial | 012 |
| Patient Name | Mr. KAUSTAV PARIDA | Contact No | 7044589784 |
| Address | 12 NO LINE | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||