Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10011 | Date 18/08/2023 |
| Token No | SM/22-23/11720 18/08/2023 | Serial | 020 |
| Patient Name | Mrs. NITU DEBI | Contact No | 9038881450 |
| Address | 16 RAM SITA LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||