Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10264 | Date 01/09/2023 |
| Token No | SM/22-23/13340 22/11/2023 | Serial | 015 |
| Patient Name | Mrs. CHAMPA DIG | Contact No | 9836723616 |
| Address | 37 BHAGIRATHI LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||