Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06608 | Date 04/08/2022 |
| Token No | SM/22-23/4288 04/08/2022 | Serial | 002 |
| Patient Name | Mrs. SANAKA NATH | Contact No | 7605000964 |
| Address | 8 DOSTI LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||