Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08928 | Date 29/04/2023 |
| Token No | SM/22-23/9288 29/04/2023 | Serial | 010 |
| Patient Name | Mr. JOY PRADHAN | Contact No | 6290857485 |
| Address | 46/A POTUA PARA LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||