Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13808 | Date 01/12/2025 |
| Token No | SM/25-26/2836 01/12/2025 | Serial | 020 |
| Patient Name | Mr. SUSANTA PAKHIRA | Contact No | 9051088264 |
| Address | 13 AB GARDEN LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||