Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07066 | Date 16/09/2022 |
| Token No | SM/22-23/10641 05/07/2023 | Serial | 016 |
| Patient Name | Mrs. BIMALA SHAW | Contact No | 9038680846 |
| Address | 2 L.M .B STREET | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||