Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08761 | Date 12/04/2023 |
| Token No | SM/24-25/16416 22/05/2024 | Serial | 028 |
| Patient Name | Mr. GOPAL BHUIYA | Contact No | 8013284927 |
| Address | 16 J N LAHIRI ROAD | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||