Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10103 | Date 23/08/2023 |
| Token No | SM/24-25/18728 10/09/2024 | Serial | 007 |
| Patient Name | Mrs. ANJALI KUMARI | Contact No | 6290849434 |
| Address | 4 DEY GHAT LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||