Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11871 | Date 31/07/2024 |
| Token No | SM/24-25/17836 31/07/2024 | Serial | 013 |
| Patient Name | Mrs. PRIYANKA SHA | Contact No | 8777638573 |
| Address | 5 KUMAR PATTY LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||