Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06616 | Date 23/04/2024 |
| Token No | SM/24-25/21060 23/04/2024 | Serial | 030 |
| Patient Name | Mr. KUSUM SHARMA | Contact No | 9831296509 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||