Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02543 | Date 22/07/2019 |
| Token No | SM/21-22/2237 22/02/2022 | Serial | 009 |
| Patient Name | Mrs. RUBI DEVI | Contact No | 9123980457 |
| Address | INDIA JUTE MILL | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||