Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08775 | Date 17/04/2023 |
| Token No | SM/22-23/8936 17/04/2023 | Serial | 030 |
| Patient Name | Mrs. RITA DEBI RAJBHAR | Contact No | 8274890734 |
| Address | 31 BAZAR BYE LANE | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||