Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08946 | Date 02/05/2023 |
| Token No | SM/22-23/9316 02/05/2023 | Serial | 028 |
| Patient Name | Mrs. SARAJU RAJBHAR | Contact No | 8274948850 |
| Address | 27/C BAZAR BYE LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||