Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09320 | Date 13/06/2023 |
| Token No | SM/25-26/6079 27/10/2026 | Serial | 008 |
| Patient Name | Mrs. LAKKHI KHATIK | Contact No | 8276903631 |
| Address | 82 DEY STREET | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||