Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10745 | Date 06/11/2023 |
| Token No | SM/22-23/13201 06/11/2023 | Serial | 024 |
| Patient Name | Mrs. GITA BHAR | Contact No | 9073805762 |
| Address | DEY STREET | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||