Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12027 | Date 30/08/2024 |
| Token No | SM/24-25/18485 30/08/2024 | Serial | 007 |
| Patient Name | Mr. SUSHANTA KUMAR BISWAL | Contact No | 9830740324 |
| Address | 14B DEY STREET | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||