Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11892 | Date 05/08/2024 |
| Token No | SM/24-25/17899 05/08/2024 | Serial | 001 |
| Patient Name | Mr. ARUN BHUINYA | Contact No | 9883968587 |
| Address | JUBILEE BASTI, J N LAHIRI ROAD | Age | 42 yrs Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||