Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10512 | Date 25/09/2023 |
| Token No | SM/22-23/12669 25/09/2023 | Serial | 030 |
| Patient Name | Mrs. MINA DEVI | Contact No | 8910360960 |
| Address | JOLKOL | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||