Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10547 | Date 27/09/2023 |
| Token No | SM/22-23/12740 27/09/2023 | Serial | 010 |
| Patient Name | Mrs. RANJU DEVI | Contact No | 8017621087 |
| Address | 4 DEY GHAT LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||