Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02940 | Date 30/08/2019 |
| Token No | SM/24-25/20712 27/01/2025 | Serial | 010 |
| Patient Name | Mr. SONU KUMAR SHA | Contact No | 9874440016 |
| Address | 6 NAYA BAGAN | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||