Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12034 | Date 30/08/2024 |
| Token No | SM/24-25/18496 30/08/2024 | Serial | 018 |
| Patient Name | Mrs. JAYANTI BISWAL | Contact No | 9830740324 |
| Address | 14B DEY STREET | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||