Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09508 | Date 30/06/2023 |
| Token No | SM/22-23/14112 04/01/2024 | Serial | 014 |
| Patient Name | Mrs. MADHABI SINGH | Contact No | 6289644717 |
| Address | DEY STREET | Age | 56 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||