Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10012 | Date 18/08/2023 |
| Token No | SM/22-23/11721 18/08/2023 | Serial | 021 |
| Patient Name | Mrs. PRATIMA MAL | Contact No | 9830715709 |
| Address | 25 LELIN SARANI | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||