Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11569 | Date 25/05/2024 |
| Token No | SM/24-25/16481 25/05/2024 | Serial | 002 |
| Patient Name | Mr. ADITYA RAJBHAR | Contact No | 6291253903 |
| Address | PACHU BAZAR. ROYLAND ROAD | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||