Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02345 | Date 24/06/2019 |
| Token No | SM/22-23/14971 28/02/2024 | Serial | 009 |
| Patient Name | Mrs. SOVA DEBI | Contact No | 9339227036 |
| Address | RUDRA RAM PANDIT LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||