Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08987 | Date 10/05/2023 |
| Token No | SM/22-23/9448 10/05/2023 | Serial | 008 |
| Patient Name | Mrs. KEYA NATH | Contact No | 9073327722 |
| Address | 63/C/1 DHULIPARA LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||