Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03480 | Date 26/11/2019 |
| Token No | SM/24-25/19954 28/11/2024 | Serial | 005 |
| Patient Name | Mrs. NIRMALA SINGH | Contact No | 9830290503 |
| Address | DEY STREET, PAL BAGAN | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||