Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08767 | Date 17/04/2023 |
| Token No | SM/22-23/8915 17/04/2023 | Serial | 009 |
| Patient Name | Mrs. MAMANI BAG | Contact No | 8902800426 |
| Address | 4 A B GARDEN LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||