Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12743 | Date 06/03/2025 |
| Token No | SM/24-25/21225 06/03/2025 | Serial | 011 |
| Patient Name | Mr. RAHUL GIRI | Contact No | 7546930063 |
| Address | 14 AKHRABATI | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||