Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11971 | Date 16/08/2024 |
| Token No | SM/24-25/18240 16/08/2024 | Serial | 043 |
| Patient Name | Mr. NABNIT KUMAR RAM | Contact No | 9625706102 |
| Address | 4 DEY GHAT LANE | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||