Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12664 | Date 13/02/2025 |
| Token No | SM/25-26/1869 03/09/2025 | Serial | 004 |
| Patient Name | Mr. SUBRATA MAJHI | Contact No | 7602956288 |
| Address | 15 lahiri para lane | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||