Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13039 | Date 24/05/2025 |
| Token No | SM/25-26/572 24/05/2025 | Serial | 032 |
| Patient Name | Mr. BIKI KOIRI | Contact No | 7866803157 |
| Address | 51C PATUA PARA LANE | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||