Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08576 | Date 17/03/2023 |
| Token No | SM/22-23/8364 17/03/2023 | Serial | 010 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 8100513179 |
| Address | 17 KALIDAS BHATTACHARYA LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||