Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08263 | Date 06/02/2023 |
| Token No | SM/22-23/7699 06/02/2023 | Serial | 014 |
| Patient Name | Mr. LAXMINARAYAN SINGHA | Contact No | 8697818060 |
| Address | 2 BAZAR BYE LANE | Age | 61 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||