Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07792 | Date 24/11/2022 |
| Token No | SM/24-25/16701 06/06/2024 | Serial | 003 |
| Patient Name | Miss SAYANI DHAR | Contact No | 8777024969 |
| Address | 62 DHULI PARA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||