Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07189 | Date 27/06/2024 |
| Token No | SM/24-25/23903 27/06/2024 | Serial | 087 |
| Patient Name | Mr. SUJIT KUMAR RAJAK | Contact No | 9903952752 |
| Address | 86 S K NAGAR RISHRA 712249 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||