Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04855 | Date 17/08/2023 |
| Token No | SM/22-23/11965 17/08/2023 | Serial | 048 |
| Patient Name | Mr. ACHINTA MALIK | Contact No | 9316073376 |
| Address | SOMRABAZAR | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||