Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11136 | Date 12/02/2024 |
| Token No | SM/24-25/17475 11/07/2024 | Serial | 026 |
| Patient Name | Mrs. RUPSA | Contact No | 8240362178 |
| Address | 5/B/3/1 DEY STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||