Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12638 | Date 07/02/2025 |
| Token No | SM/24-25/20883 07/02/2025 | Serial | 019 |
| Patient Name | Mr. PANCHANAN GIRI | Contact No | 9334519731 |
| Address | 1 NO GATE, KOLBAZAR | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||