Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10819 | Date 23/11/2023 |
| Token No | SM/22-23/14701 08/02/2024 | Serial | 050 |
| Patient Name | Mrs. SHIPRA DEY | Contact No | 9748274536 |
| Address | 269/11 RISHRA 3NO NOTUN GRAM RATHIN PAL SARANI 1ST LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||