Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11969 | Date 16/08/2024 |
| Token No | SM/24-25/18233 16/08/2024 | Serial | 036 |
| Patient Name | Mrs. SUSHILA HELA | Contact No | 9088671993 |
| Address | 79 DEY STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||