Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11293 | Date 15/03/2024 |
| Token No | SM/22-23/15289 15/03/2024 | Serial | 001 |
| Patient Name | Mrs. MUNNI DEBI | Contact No | 6289552804 |
| Address | CHAMPDANI | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||