Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11080 | Date 31/01/2024 |
| Token No | SM/22-23/14859 21/02/2024 | Serial | 028 |
| Patient Name | Mrs. TERAS DEVI | Contact No | 7491864002 |
| Address | 6 NO LINE, INDIA JUTE MILL | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||