Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11996 | Date 22/08/2024 |
| Token No | SM/24-25/18346 22/08/2024 | Serial | 015 |
| Patient Name | Mr. SAMENDAR KUMAR | Contact No | 9908637595 |
| Address | INDIA JUTE MILL WORKER | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||