Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07738 | Date 21/11/2022 |
| Token No | SM/22-23/8914 17/04/2023 | Serial | 008 |
| Patient Name | Mr. BINAY KUMAR SHA | Contact No | 6205573670 |
| Address | 12/575 RAM SITA LANE | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||