Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05874 | Date 18/05/2022 |
| Token No | SM/24-25/15652 08/04/2024 | Serial | 011 |
| Patient Name | Mrs. SIBANI NATH | Contact No | |
| Address | Age | 28 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||