Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09679 | Date 18/07/2023 |
| Token No | SM/24-25/15648 08/04/2024 | Serial | 007 |
| Patient Name | Mrs. RUPALI ACHARYA | Contact No | |
| Address | Age | 44 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||