Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10116 | Date 23/08/2023 |
| Token No | SM/22-23/11911 23/08/2023 | Serial | 033 |
| Patient Name | Mr. NIKHIL RAJBHAR | Contact No | 9830880105 |
| Address | 27 BAZAR BYE LANE, TIN BAZAR | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||