Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07030 | Date 14/09/2022 |
| Token No | SM/22-23/8584 27/03/2023 | Serial | 031 |
| Patient Name | Mr. BISWANATH SHA | Contact No | 9681770876 |
| Address | 37 L B S ROAD | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||