Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12272 | Date 28/10/2024 |
| Token No | SM/24-25/19471 28/10/2024 | Serial | 006 |
| Patient Name | Mr. ASISH KUMAR DEY | Contact No | 8910369047 |
| Address | BARABELU | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||