Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08200 | Date 13/11/2024 |
| Token No | SM/24-25/31085 13/11/2024 | Serial | 080 |
| Patient Name | Mr. SRIPATI HALDER | Contact No | |
| Address | LAXMIKANTAPUR S 24 PRGS | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||