Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08350 | Date 05/12/2024 |
| Token No | SM/24-25/32302 05/12/2024 | Serial | 033 |
| Patient Name | Mr. ROUSHAN RAJAK | Contact No | 8910101294 |
| Address | 1/B/26 S S ROAD RISHRA M 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||