Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12254 | Date 21/10/2024 |
| Token No | SM/24-25/19389 21/10/2024 | Serial | 031 |
| Patient Name | Master DIPAK KOIRI | Contact No | 7866803157 |
| Address | 51C PATUA PARA LANE | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||