Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11498 | Date 09/05/2024 |
| Token No | SM/24-25/16127 09/05/2024 | Serial | 026 |
| Patient Name | Mrs. RUBY RAM | Contact No | 9831326817 |
| Address | 7 DEY GHAT LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||