Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11338 | Date 30/03/2024 |
| Token No | SM/24-25/21413 20/03/2025 | Serial | 004 |
| Patient Name | Mr. GOBINDO PRADHAN | Contact No | 8272904856 |
| Address | 8/424 INDIA JUTE MILL | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||