Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11833 | Date 22/07/2024 |
| Token No | SM/24-25/17737 25/07/2024 | Serial | 011 |
| Patient Name | Mrs. PUSPA SHAW | Contact No | 9123044241 |
| Address | 39 NO DEYST | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||