Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10525 | Date 26/09/2023 |
| Token No | SM/22-23/12685 26/09/2023 | Serial | 001 |
| Patient Name | Mr. SUMAN THANDAR | Contact No | 9062337647 |
| Address | 81/8 J N LAHIRI ROAD | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||