Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11237 | Date 06/03/2024 |
| Token No | SM/22-23/15070 06/03/2024 | Serial | 012 |
| Patient Name | Mrs. MILA DEBI | Contact No | 9007516489 |
| Address | INDIA JUTE MILL | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||