Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06724 | Date 13/08/2022 |
| Token No | SM/22-23/14070 03/01/2024 | Serial | 027 |
| Patient Name | Mr. ANUP KUMAR BHAR | Contact No | 9432857841 |
| Address | 67/A BHAGIRATHI LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||