Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08308 | Date 09/02/2023 |
| Token No | SM/22-23/7778 09/02/2023 | Serial | 020 |
| Patient Name | Mrs. RANI DAS. | Contact No | 9051268908 |
| Address | 573 MANIKTALA | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||