Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02904 | Date 27/08/2019 |
| Token No | SM/24-25/17201 27/06/2024 | Serial | 032 |
| Patient Name | Mrs. RANJU DEVI | Contact No | 8013548536 |
| Address | 4 DEY GHAT LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||