Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08456 | Date 24/02/2023 |
| Token No | SM/22-23/9587 16/05/2023 | Serial | 001 |
| Patient Name | Mr. BIRJU RAJBHAR | Contact No | 8881895072 |
| Address | 29 K M BHATTACHARJEE STREET | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||