Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08633 | Date 23/03/2023 |
| Token No | SM/22-23/8512 23/03/2023 | Serial | 023 |
| Patient Name | Mr. AMARNATH RAJBHAR | Contact No | 9875562947 |
| Address | 3 PITAMBAR DEY LANE | Age | 4YR 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||