Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10292 | Date 13/12/2025 |
| Token No | SM/25-26/11886 13/12/2025 | Serial | 031 |
| Patient Name | Mr. ABHIJIT PATRA | Contact No | 7596819032 |
| Address | CHOTOBELU BELUMILKI 712223 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||