Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08435 | Date 23/02/2023 |
| Token No | SM/22-23/8039 23/02/2023 | Serial | 008 |
| Patient Name | Mr. AJAY LAHA | Contact No | 9903626339 |
| Address | 29A BARUI PARA LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||