Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04866 | Date 01/09/2021 |
| Token No | SM/24-25/17194 27/06/2024 | Serial | 025 |
| Patient Name | Mr. PIRBHUBAN SINGH | Contact No | 8015287941 |
| Address | J N LAHIRI ROAD | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||