Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06080 | Date 13/06/2022 |
| Token No | SM/24-25/16755 10/06/2024 | Serial | 004 |
| Patient Name | Mr. PAYEL ADHIKARI | Contact No | 7005894750 |
| Address | POTUA PARA | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||