Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04434 | Date 02/06/2021 |
| Token No | SM/22-23/14007 28/12/2023 | Serial | 011 |
| Patient Name | Mrs. RAMA DEVI | Contact No | 7980998075 |
| Address | TIN BAZAR | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||