Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12530 | Date 15/01/2025 |
| Token No | SM/24-25/20514 15/01/2025 | Serial | 010 |
| Patient Name | Mr. SARAD KUMAR SETTHY | Contact No | 7439179603 |
| Address | INDIA JUTE MILL | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||