Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08723 | Date 06/04/2023 |
| Token No | SM/25-26/212 23/04/2025 | Serial | 023 |
| Patient Name | Mr. RAJU MAHATO | Contact No | 8910377455 |
| Address | 103 R.B. SARANI | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||