Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08304 | Date 09/02/2023 |
| Token No | SM/24-25/18554 03/09/2024 | Serial | 002 |
| Patient Name | Mr. BIKRAM NAYEK | Contact No | 9474865061 |
| Address | 27 J N LAHIRI ROAD | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||