Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12969 | Date 07/05/2025 |
| Token No | SM/25-26/389 07/05/2025 | Serial | 011 |
| Patient Name | Mr. ARUSH MAJHI | Contact No | 7602956288 |
| Address | 15 LAHIRI PARA LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||