Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11851 | Date 29/07/2024 |
| Token No | SM/24-25/17781 29/07/2024 | Serial | 008 |
| Patient Name | Mrs. JYOTI TIWARI | Contact No | 7003150501 |
| Address | MANIKTALA, DEY BAGAN | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||