Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11724 | Date 01/07/2024 |
| Token No | SM/24-25/17249 01/07/2024 | Serial | 009 |
| Patient Name | Mrs. LATA RAJBHAR | Contact No | 8777521443 |
| Address | 10 DEY STREET | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||