Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10115 | Date 23/08/2023 |
| Token No | SM/22-23/11910 23/08/2023 | Serial | 032 |
| Patient Name | Mrs. MINA SINGH | Contact No | 7980412584 |
| Address | 45A/1 THAKURBATI STREET | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||