Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07358 | Date 21/10/2022 |
| Token No | SM/22-23/5715 21/10/2022 | Serial | 015 |
| Patient Name | Mrs. MONGRI DEBI | Contact No | 8961314990 |
| Address | 573 MANIKTALA | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||