Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10405 | Date 14/09/2023 |
| Token No | SM/22-23/12490 14/09/2023 | Serial | 030 |
| Patient Name | Mrs. LAKKHI DAS | Contact No | 8697436845 |
| Address | 573 MANIKTALA G.T. ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||