Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12709 | Date 03/03/2025 |
| Token No | SM/24-25/21140 03/03/2025 | Serial | 001 |
| Patient Name | Mr. DANDAMI PRADHAN | Contact No | 8099777962 |
| Address | 25 N.L. BHATTACHARYA STREET | Age | 73 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||