Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11406 | Date 15/04/2024 |
| Token No | SM/24-25/16588 30/05/2024 | Serial | 009 |
| Patient Name | Mrs. BABY ROY | Contact No | 8961250738 |
| Address | 55 DHULIPARA | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||