Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06867 | Date 02/09/2022 |
| Token No | SM/22-23/4810 02/09/2022 | Serial | 006 |
| Patient Name | Mrs. MIRA DEBI. | Contact No | |
| Address | 48/C PACHU GOPAL SARANI | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||