Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07747 | Date 27/08/2024 |
| Token No | SM/24-25/27215 27/08/2024 | Serial | 004 |
| Patient Name | Mr. ARUP BONOMALI AROS | Contact No | 8767869730 |
| Address | 12 NO SUNNY PARA LANE MALLIKPARA 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||