Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12490 | Date 23/12/2024 |
| Token No | SM/24-25/20352 23/12/2024 | Serial | 020 |
| Patient Name | Mrs. SHANTI SHA | Contact No | 7439698878 |
| Address | 19/1A KDB LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||