Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10320 | Date 07/09/2023 |
| Token No | SM/22-23/13667 11/12/2023 | Serial | 008 |
| Patient Name | Mrs. NEHA DEBI | Contact No | 6290117929 |
| Address | 7 INDIA JUTE MILL | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||