Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10704 | Date 01/11/2023 |
| Token No | SM/22-23/13118 01/11/2023 | Serial | 005 |
| Patient Name | Mrs. PRIYANKA DEVI | Contact No | 6290373841 |
| Address | 43 BHAGIRATHI LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||