Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07884 | Date 10/09/2024 |
| Token No | SM/24-25/28036 10/09/2024 | Serial | 052 |
| Patient Name | Mr. NIMAI CHANDRA PARUI | Contact No | 9883207738 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||