Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09614 | Date 13/07/2023 |
| Token No | SM/22-23/10974 18/07/2023 | Serial | 008 |
| Patient Name | Mrs. SARITA DEBI | Contact No | 7890026271 |
| Address | 3 DOSTI LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||