Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09364 | Date 15/06/2023 |
| Token No | SM/22-23/10244 15/06/2023 | Serial | 031 |
| Patient Name | Miss KARISHMA KOIRI | Contact No | 9239423420 |
| Address | 7 DEY GHAT LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||