Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11225 | Date 04/03/2024 |
| Token No | SM/22-23/15039 04/03/2024 | Serial | 024 |
| Patient Name | Mrs. GITA DEVI | Contact No | 7980068137 |
| Address | 7 DEY GHAT LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||