Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07511 | Date 04/11/2022 |
| Token No | SM/22-23/6010 04/11/2022 | Serial | 007 |
| Patient Name | Mr. BIJAY KUMAR PRASAD | Contact No | 8820245241 |
| Address | 25 K M BHATTACHARJEE STREET | Age | 71 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||