Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12506 | Date 06/01/2025 |
| Token No | SM/24-25/20407 06/01/2025 | Serial | 007 |
| Patient Name | Mr. SACHINDRA SARKHEL.. | Contact No | 9062123265 |
| Address | 114/B T.B STREET | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||