Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11272 | Date 13/03/2024 |
| Token No | SM/22-23/15225 13/03/2024 | Serial | 008 |
| Patient Name | Mrs. TUNI DEBI | Contact No | 9836048547 |
| Address | 1 NO GATE, INDIA JUTE MILL | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||