Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13277 | Date 23/07/2025 |
| Token No | SM/25-26/1340 23/07/2025 | Serial | 013 |
| Patient Name | Mr. AJAY BHUINYA | Contact No | 9330376978 |
| Address | J.N. LAHIRI ROAD | Age | 27 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||