Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09347 | Date 14/06/2023 |
| Token No | SM/22-23/10199 14/06/2023 | Serial | 021 |
| Patient Name | Mrs. ANITA ROY | Contact No | 9903110719 |
| Address | 2 L M B STREET | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||