Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02432 | Date 08/07/2019 |
| Token No | SM/22-23/15157 11/03/2024 | Serial | 008 |
| Patient Name | Mrs. PARBATI RAJBHAR | Contact No | NOT GIVEN |
| Address | PALBAGAN | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||