Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02406 | Date 08/08/2022 |
| Token No | SM/22-23/1875 08/08/2022 | Serial | 003 |
| Patient Name | Mr. ARBIND KUMAR RAI | Contact No | 8017288623 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 57 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||