Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10774 | Date 09/11/2023 |
| Token No | SM/22-23/13271 09/11/2023 | Serial | 020 |
| Patient Name | Mrs. CHANDNI DEBI | Contact No | 7761851440 |
| Address | INDIA JUTE MILL | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||