Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12300 | Date 06/11/2024 |
| Token No | SM/24-25/19585 06/11/2024 | Serial | 003 |
| Patient Name | Mr. RAJ KISHORE SHAW | Contact No | 8910592856 |
| Address | PACHUBABUR BAJAR | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||