Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07716 | Date 18/11/2022 |
| Token No | SM/22-23/13738 13/12/2023 | Serial | 017 |
| Patient Name | Mr. PREMNATH RAJBHAR | Contact No | 9063450826 |
| Address | 80/1 DEY STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||