Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11921 | Date 08/08/2024 |
| Token No | SM/24-25/20714 27/01/2025 | Serial | 012 |
| Patient Name | Mrs. AMRITA PRASAD | Contact No | 9433128197 |
| Address | 3 DEY GHAT LANE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||