Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09406 | Date 19/06/2023 |
| Token No | SM/24-25/19677 13/11/2024 | Serial | 008 |
| Patient Name | Mr. BIJAY PATRA | Contact No | 8695852150 |
| Address | J N LAHIRI ROAD | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||