Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10235 | Date 31/08/2023 |
| Token No | SM/22-23/12137 31/08/2023 | Serial | 015 |
| Patient Name | Mrs. REKHA SARDAR | Contact No | 9051300314 |
| Address | MAHESH 465 GT ROAD | Age | 60 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||