Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09306 | Date 12/06/2023 |
| Token No | SM/22-23/10121 12/06/2023 | Serial | 028 |
| Patient Name | Mrs. SANTI DAS | Contact No | 6290108347 |
| Address | 11D RAM SITA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||