Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05761 | Date 25/04/2022 |
| Token No | SM/22-23/2820 25/04/2022 | Serial | 018 |
| Patient Name | Mrs. NANDINI DEBI | Contact No | 9576381706 |
| Address | 11 R B SARANI | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||