Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09800 | Date 28/07/2023 |
| Token No | SM/24-25/19285 09/10/2024 | Serial | 012 |
| Patient Name | Mr. BHIM BHUINYA | Contact No | 8584074399 |
| Address | 1 J N L ROAD | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||