Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08383 | Date 20/02/2023 |
| Token No | SM/22-23/7951 20/02/2023 | Serial | 009 |
| Patient Name | Mrs. RESHMA DEBI | Contact No | 7278211319 |
| Address | 10 DOSTI LANE | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||