Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02982 | Date 04/09/2019 |
| Token No | SM/22-23/14288 17/01/2024 | Serial | 008 |
| Patient Name | Mr. SUSANTA PAKIRA | Contact No | 9674288264 |
| Address | 13 A B GARDEN LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||