Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07791 | Date 24/11/2022 |
| Token No | SM/22-23/6593 24/11/2022 | Serial | 007 |
| Patient Name | Mrs. SITA DEBI | Contact No | 7450043907 |
| Address | JHAUTALA, LBS ROAD | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||