Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06968 | Date 07/09/2022 |
| Token No | SM/22-23/4974 07/09/2022 | Serial | 022 |
| Patient Name | Mr. KARTIK ADHIKARI | Contact No | 7008974510 |
| Address | 18/B BAISHNAB PARA 2ND LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||