Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12507 | Date 07/01/2025 |
| Token No | SM/24-25/20408 07/01/2025 | Serial | 001 |
| Patient Name | Mr. ASUTOSH PAL. | Contact No | 8420011374 |
| Address | 52/E G.T. ROAD, CHATRA | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||