Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09557 | Date 06/07/2023 |
| Token No | SM/22-23/10933 17/07/2023 | Serial | 016 |
| Patient Name | Mrs. RANI DEBI | Contact No | 9432210102 |
| Address | 99 THAKUR BATI STREET | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||