Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11840 | Date 23/07/2024 |
| Token No | SM/24-25/17698 23/07/2024 | Serial | 012 |
| Patient Name | Mrs. KHUSHI DAS | Contact No | NOT GIVEN |
| Address | 40 DEY STREET | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||