Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09523 | Date 03/07/2023 |
| Token No | SM/22-23/10554 03/07/2023 | Serial | 024 |
| Patient Name | Mrs. LAKKHI RAY | Contact No | 8013280106 |
| Address | 180 QUARTER, RAM SITA LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||