Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11457 | Date 27/04/2024 |
| Token No | SM/24-25/15999 27/04/2024 | Serial | 005 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 8100260858 |
| Address | 27B BAZAR BYE LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||