Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09613 | Date 13/07/2023 |
| Token No | SM/22-23/10850 13/07/2023 | Serial | 009 |
| Patient Name | Mrs. PUTUL DIG | Contact No | 8697546828 |
| Address | 37 BHAGIRATHI LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||