Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12358 | Date 20/11/2024 |
| Token No | SM/24-25/19788 20/11/2024 | Serial | 019 |
| Patient Name | Mrs. BINDE JOT | Contact No | NOT GIVEN |
| Address | 70 PAL BAGAN | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||