Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04290 | Date 09/06/2023 |
| Token No | SM/22-23/9407 09/06/2023 | Serial | 011 |
| Patient Name | Mr. RAMJATAN PRASAD | Contact No | |
| Address | PURBAPARA GHORAMARA P 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||