Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11859 | Date 29/07/2024 |
| Token No | SM/24-25/17797 29/07/2024 | Serial | 024 |
| Patient Name | Mr. ROSHON BHUIYA | Contact No | 9875400489 |
| Address | 92 J N LAHIRI ROAD | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||