Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12606 | Date 31/01/2025 |
| Token No | SM/24-25/20812 31/01/2025 | Serial | 001 |
| Patient Name | Mr. BHASKAR PRADHAN.. | Contact No | 8106233907 |
| Address | 9 NO. LINE | Age | 70YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||