Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09490 | Date 24/06/2023 |
| Token No | SM/22-23/10475 24/06/2023 | Serial | 002 |
| Patient Name | Mrs. RUPA PASWAN | Contact No | 8001859685 |
| Address | 18 K C BHATTACHARJEE STREET | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||