Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10801 | Date 22/11/2023 |
| Token No | SM/22-23/13348 22/11/2023 | Serial | 023 |
| Patient Name | Miss NANDINI KUMARI | Contact No | 6307693822 |
| Address | 4 DEY GHAT LANE | Age | 19 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||