Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08161 | Date 11/01/2023 |
| Token No | SM/22-23/7474 11/01/2023 | Serial | 022 |
| Patient Name | Mrs. REKHA DEY | Contact No | NOT GIVEN |
| Address | KASHI DOCTOR LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||