Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08105 | Date 04/01/2023 |
| Token No | SM/22-23/7345 04/01/2023 | Serial | 008 |
| Patient Name | Mr. DEB DAS | Contact No | 7044628439 |
| Address | MANIKTALA, PATUAPARA | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||