Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07513 | Date 04/11/2022 |
| Token No | SM/22-23/6013 04/11/2022 | Serial | 010 |
| Patient Name | Mrs. TEJAS GIRI | Contact No | 6204544607 |
| Address | 12 NO LINE | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||