Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09325 | Date 13/06/2023 |
| Token No | SM/22-23/10152 13/06/2023 | Serial | 014 |
| Patient Name | Mrs. KIRAN DEBI | Contact No | 7890074176 |
| Address | 104 R.B. SARANI | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||