Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07744 | Date 21/11/2022 |
| Token No | SM/22-23/6476 21/11/2022 | Serial | 016 |
| Patient Name | Mrs. ANITA KOIRI | Contact No | NOT GIVEN |
| Address | 51 PATUA PARA LANE | Age | 50 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||