Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10161 | Date 28/08/2023 |
| Token No | SM/22-23/12011 28/08/2023 | Serial | 013 |
| Patient Name | Mrs. RINA DEBI | Contact No | 6290528623 |
| Address | 114 NO RB SARANI | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||