Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09790 | Date 27/07/2023 |
| Token No | SM/22-23/11217 27/07/2023 | Serial | 002 |
| Patient Name | Mrs. ANJU DEBI | Contact No | 8777584619 |
| Address | 11 DOSTI LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||