Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10797 | Date 22/11/2023 |
| Token No | SM/22-23/13343 22/11/2023 | Serial | 018 |
| Patient Name | Mrs. REKHA SHAW | Contact No | 9143440581 |
| Address | 10 DEY STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||