Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12650 | Date 12/02/2025 |
| Token No | SM/24-25/20935 12/02/2025 | Serial | 020 |
| Patient Name | Mr. HARISH PRADHAN | Contact No | 9123642042 |
| Address | 61/2 DEY STREET | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||