Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03654 | Date 02/01/2020 |
| Token No | SM/24-25/17478 11/07/2024 | Serial | 029 |
| Patient Name | Mrs. MEERA DEVI | Contact No | 9006921698 |
| Address | DEY STREET | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||