Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10451 | Date 21/09/2023 |
| Token No | SM/22-23/12569 21/09/2023 | Serial | 019 |
| Patient Name | Mrs. SIMA HARIJAN | Contact No | 7439335830 |
| Address | LALDIGHIR DHAR, CHANDAN NAGAR | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||