Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10110 | Date 23/08/2023 |
| Token No | SM/22-23/11903 23/08/2023 | Serial | 025 |
| Patient Name | Mrs. ARATI NATH | Contact No | 9123935851 |
| Address | 48 KHASH BAGAN | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||