Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12464 | Date 16/12/2024 |
| Token No | SM/24-25/20235 16/12/2024 | Serial | 030 |
| Patient Name | Mr. MONORANJAN BISWAL | Contact No | 6291855748 |
| Address | 7/282 COCKRAIN ROAD | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||