Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08675 | Date 30/03/2023 |
| Token No | SM/24-25/20821 31/01/2025 | Serial | 010 |
| Patient Name | Mrs. ANUBHAB GIRI | Contact No | 9433640733 |
| Address | 4 DEY GHATLANE | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||