Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02355 | Date 30/07/2022 |
| Token No | SM/22-23/8507 29/04/2023 | Serial | 013 |
| Patient Name | Mr. BRIJENDRA KUMAR RAI | Contact No | 8420090906 |
| Address | GHORAMARA PASCHIMPARA RAJYADHARPUR 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||