Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09784 | Date 26/07/2023 |
| Token No | SM/22-23/14542 01/02/2024 | Serial | 014 |
| Patient Name | Mrs. PARBATI PRADHAN | Contact No | 9007258708 |
| Address | 9/47A COCKREN ROAD | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||