Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09642 | Date 17/07/2023 |
| Token No | SM/22-23/10943 17/07/2023 | Serial | 026 |
| Patient Name | Mrs. LALHMUNHLUNI | Contact No | 9563441416 |
| Address | CHOWDHURY PARA | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||