Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08663 | Date 28/03/2023 |
| Token No | SM/22-23/8595 28/03/2023 | Serial | 002 |
| Patient Name | Mr. MANIKLAL ADHIKARI | Contact No | 9681441925 |
| Address | 78F/25 TELIPARA, CHATRA | Age | 69 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||