Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09755 | Date 24/07/2023 |
| Token No | SM/24-25/16464 23/05/2024 | Serial | 034 |
| Patient Name | Miss MAMANI PRADHAN | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||