Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09063 | Date 15/05/2023 |
| Token No | SM/22-23/9582 15/05/2023 | Serial | 035 |
| Patient Name | Mrs. LALITA DEBI | Contact No | 7439171173 |
| Address | 10 DOSTI L;ANE | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||