Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11852 | Date 29/07/2024 |
| Token No | SM/24-25/17782 29/07/2024 | Serial | 009 |
| Patient Name | Mr. RAJESH PRASAD | Contact No | 9661713987 |
| Address | INDIA JUTE MILL, 7 NO LINE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||