Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05790 | Date 05/05/2022 |
| Token No | SM/24-25/19091 30/09/2024 | Serial | 015 |
| Patient Name | Miss URMILA KHATIK.. | Contact No | 8910460609 |
| Address | 79 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||