Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04037 | Date 22/09/2020 |
| Token No | SM/19-20/8898 22/09/2020 | Serial | 009 |
| Patient Name | Mrs. RAMRATI DEBI | Contact No | 8583947200 |
| Address | ram sita lane | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||