Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09178 | Date 26/05/2023 |
| Token No | SM/22-23/9831 26/05/2023 | Serial | 009 |
| Patient Name | Mrs. LAKSHMI DHAR | Contact No | 7980485952 |
| Address | 113 NO GT ROAD MANIK TOLA | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||