Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11868 | Date 31/07/2024 |
| Token No | SM/24-25/19495 28/10/2024 | Serial | 030 |
| Patient Name | Mr. BIJAY BHUIYA | Contact No | 6289298742 |
| Address | JITEN LAHIRI ROAD | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||