Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11148 | Date 19/02/2024 |
| Token No | SM/24-25/20755 29/01/2025 | Serial | 014 |
| Patient Name | Mrs. LAKSHMI RANI BHAR | Contact No | 9143168260 |
| Address | KALITALA | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||