Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11349 | Date 01/04/2024 |
| Token No | SM/22-23/15555 01/04/2024 | Serial | 020 |
| Patient Name | Mrs. ANITA DEBI | Contact No | 8777214578 |
| Address | 8 ram sita lane | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||