Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03555 | Date 05/12/2019 |
| Token No | SM/22-23/8961 18/04/2023 | Serial | 022 |
| Patient Name | Mr. BIBHUTI PAN | Contact No | 9674569249 |
| Address | 134 THAKUR DAS BABU L;ANE | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||