Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10676 | Date 16/10/2023 |
| Token No | SM/22-23/15355 20/03/2024 | Serial | 008 |
| Patient Name | Mrs. MANJU DEBI | Contact No | 9911499052 |
| Address | DEOBARI | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||