Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02417 | Date 05/07/2019 |
| Token No | SM/22-23/13519 04/12/2023 | Serial | 017 |
| Patient Name | Mrs. HIRA DEBI | Contact No | 6291511264 |
| Address | 6 RAM SITA LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||