Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06380 | Date 19/07/2022 |
| Token No | SM/24-25/17887 03/08/2024 | Serial | 007 |
| Patient Name | Mrs. PUJA RAJBHAR | Contact No | 8013155761 |
| Address | 13 L B S ROAD | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||