Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10957 | Date 14/12/2023 |
| Token No | SM/22-23/13786 14/12/2023 | Serial | 017 |
| Patient Name | Mrs. PRIYANKA SHAW | Contact No | 9123858326 |
| Address | 37 BLC ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||