Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11968 | Date 16/08/2024 |
| Token No | SM/24-25/19642 11/11/2024 | Serial | 008 |
| Patient Name | Mr. RAMESH MAJHI | Contact No | 6289759083 |
| Address | 18 K M BHATTACHARJEE STREET | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||