Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11317 | Date 27/03/2024 |
| Token No | SM/22-23/15431 27/03/2024 | Serial | 011 |
| Patient Name | Mrs. BULA SHAW | Contact No | 9088461507 |
| Address | BARABAGAN | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||