Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02044 | Date 10/05/2019 |
| Token No | SM/22-23/15016 04/03/2024 | Serial | 001 |
| Patient Name | Mrs. LAXMI NATH | Contact No | 9051778054 |
| Address | 8/A DOSTI LANE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||