Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08752 | Date 11/04/2023 |
| Token No | SM/24-25/16260 15/05/2024 | Serial | 009 |
| Patient Name | Mrs. RINA KOIRI | Contact No | 8900716816 |
| Address | 14/B PAL BAGAN | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||