Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09668 | Date 18/07/2023 |
| Token No | SM/22-23/10978 18/07/2023 | Serial | 012 |
| Patient Name | Mrs. MINTU DEBI | Contact No | 6290003036 |
| Address | 103 R.B. SARANI | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||