Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09084 | Date 17/05/2023 |
| Token No | SM/22-23/9626 17/05/2023 | Serial | 020 |
| Patient Name | Mr. SUDHAMOY RAJBHAR | Contact No | 9670859200 |
| Address | DEY GHAT LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||