Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06677 | Date 08/08/2022 |
| Token No | SM/22-23/4412 08/08/2022 | Serial | 038 |
| Patient Name | Mrs. LAXMI DEBI | Contact No | 8274941168 |
| Address | 19 DOSTI LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||