Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11593 | Date 03/06/2024 |
| Token No | SM/24-25/16615 03/06/2024 | Serial | 002 |
| Patient Name | Miss ANJALI BISWAL | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||