Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08871 | Date 26/04/2023 |
| Token No | SM/22-23/9175 26/04/2023 | Serial | 005 |
| Patient Name | Miss SWEETY PAL | Contact No | 8015847841 |
| Address | L B S ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||