Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05338 | Date 24/01/2022 |
| Token No | SM/21-22/1981 24/01/2022 | Serial | 002 |
| Patient Name | Mrs. MAMATA GIRI | Contact No | 7847899738 |
| Address | 5 RAJMOHAN GOSWAMI LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||