Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11137 | Date 12/02/2024 |
| Token No | SM/22-23/14748 12/02/2024 | Serial | 024 |
| Patient Name | Mrs. JITAL DEBI | Contact No | 9038941202 |
| Address | 79 DEY STREET | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||