Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10563 | Date 28/09/2023 |
| Token No | SM/22-23/12782 28/09/2023 | Serial | 013 |
| Patient Name | Mrs. NANDA DEBI | Contact No | 9163198070 |
| Address | 113 R.B. SARANI | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||