Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09596 | Date 12/07/2023 |
| Token No | SM/22-23/10812 12/07/2023 | Serial | 018 |
| Patient Name | Mrs. GURIYA DEBI | Contact No | 9432982164 |
| Address | 12 PITAMBAR DEY LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||