Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10284 | Date 04/09/2023 |
| Token No | SM/22-23/12231 04/09/2023 | Serial | 015 |
| Patient Name | Mrs. USHA DEBI | Contact No | 8420928442 |
| Address | 74 DEY STREET | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||