Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13050 | Date 24/05/2025 |
| Token No | SM/25-26/587 24/05/2025 | Serial | 047 |
| Patient Name | Mr. PRADIP MAHATO | Contact No | 8902491445 |
| Address | MANIKTALA | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||