Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09148 | Date 22/05/2023 |
| Token No | SM/25-26/324 02/05/2025 | Serial | 002 |
| Patient Name | Mrs. DURGA HARI.. | Contact No | |
| Address | LAXMIGHAT | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||