Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11566 | Date 24/05/2024 |
| Token No | SM/24-25/16468 24/05/2024 | Serial | 004 |
| Patient Name | Mrs. RIMPA DEVI | Contact No | 7980916426 |
| Address | 18/A HOSPITAL LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||