Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08046 | Date 28/12/2022 |
| Token No | SM/22-23/7221 28/12/2022 | Serial | 018 |
| Patient Name | Mrs. KUSUM RAJBHAR | Contact No | 9875562947 |
| Address | 3 PITAMBAR DEY LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||