Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09251 | Date 05/06/2023 |
| Token No | SM/22-23/9988 05/06/2023 | Serial | 035 |
| Patient Name | Mr. BINOY GIRI | Contact No | NOT GIVEN |
| Address | 97 GURU GARDEN LANE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||