Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08047 | Date 28/12/2022 |
| Token No | SM/22-23/7222 28/12/2022 | Serial | 019 |
| Patient Name | Mrs. GITA THAKUR | Contact No | 9875562947 |
| Address | 3 NO PITAMBAR DEY LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||