Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09202 | Date 01/06/2023 |
| Token No | SM/22-23/9906 01/06/2023 | Serial | 014 |
| Patient Name | Mrs. PARBATI DEVI | Contact No | 9065296617 |
| Address | 8 DEY STREET | Age | 80 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||