Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13503 | Date 10/09/2025 |
| Token No | SM/25-26/1984 10/09/2025 | Serial | 011 |
| Patient Name | Mr. SHIV KUMAR BHUIYA | Contact No | 8961118449 |
| Address | j.n. lahiri road | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||