Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10954 | Date 14/12/2023 |
| Token No | SM/22-23/13770 14/12/2023 | Serial | 001 |
| Patient Name | Mrs. LALITA GIRI | Contact No | NOT GIVEN |
| Address | 14 AKHRABATI LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||