Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08146 | Date 10/01/2023 |
| Token No | SM/22-23/7431 10/01/2023 | Serial | 009 |
| Patient Name | Mrs. GAYETRI DEBI. | Contact No | 6291737131 |
| Address | 66 DEY STREET | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||