Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11132 | Date 12/02/2024 |
| Token No | SM/22-23/14733 12/02/2024 | Serial | 009 |
| Patient Name | Mrs. DEBI RADHA DAS | Contact No | 7980644126 |
| Address | R.B. SARANI | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||