Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10007 | Date 18/08/2023 |
| Token No | SM/22-23/11711 18/08/2023 | Serial | 011 |
| Patient Name | Mrs. SWAPNA JOT | Contact No | 6289430407 |
| Address | 10 DOSTI LANE | Age | 43 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||