Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09303 | Date 12/06/2023 |
| Token No | SM/22-23/10116 12/06/2023 | Serial | 023 |
| Patient Name | Mrs. MINA DEBI | Contact No | 9330674903 |
| Address | 104 R.B. SARANI | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||