Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11738 | Date 04/07/2024 |
| Token No | SM/24-25/17310 04/07/2024 | Serial | 005 |
| Patient Name | Miss PRIYANKA GIRI | Contact No | 9899798167 |
| Address | 6 RAM SITA LANE | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||