Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02752 | Date 07/08/2019 |
| Token No | SM/22-23/14046 03/01/2024 | Serial | 003 |
| Patient Name | Mr. DEB KUMAR RAJBHAR | Contact No | NOT GIVEN |
| Address | 79 DEY STREET | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||