Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09058 | Date 15/05/2023 |
| Token No | SM/22-23/9576 15/05/2023 | Serial | 029 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | 9065296617 |
| Address | 86 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||