Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08587 | Date 20/01/2025 |
| Token No | SM/24-25/34421 20/01/2025 | Serial | 081 |
| Patient Name | Mr. SANTOSH JHA | Contact No | 8481893163 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||