Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05598 | Date 29/03/2022 |
| Token No | SM/22-23/2593 01/04/2022 | Serial | 014 |
| Patient Name | Mrs. NITU DEBI | Contact No | 9903605362 |
| Address | 12 INDIA JUTE MILL | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||