Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07765 | Date 22/11/2022 |
| Token No | SM/22-23/6526 22/11/2022 | Serial | 017 |
| Patient Name | Mr. RAJA RAJBHAR | Contact No | 9330016882 |
| Address | 79 DEY STREET | Age | 25 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||