Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13608 | Date 13/10/2025 |
| Token No | SM/25-26/2272 13/10/2025 | Serial | 008 |
| Patient Name | Mr. SUDAMA PAL. | Contact No | 8274036625 |
| Address | INDIA JUTE MILL | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||