Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06901 | Date 05/09/2022 |
| Token No | SM/22-23/9932 02/06/2023 | Serial | 013 |
| Patient Name | Mrs. SUNITA SHA | Contact No | 6289727845 |
| Address | 1 MAIDA PATTY LANE | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||