Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11102 | Date 07/02/2024 |
| Token No | SM/24-25/15610 03/04/2024 | Serial | 036 |
| Patient Name | Mrs. TUTIKA PADMAVATI | Contact No | 9062270611 |
| Address | 5/C BLC MILLS ROAD | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||