Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09497 | Date 26/06/2023 |
| Token No | SM/22-23/11610 14/08/2023 | Serial | 020 |
| Patient Name | Mrs. LALPARVULMAWILL | Contact No | 8415066292 |
| Address | KALITALA | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||