Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05825 | Date 12/05/2022 |
| Token No | SM/22-23/2945 12/05/2022 | Serial | 002 |
| Patient Name | Mrs. SUMITA DEBI. | Contact No | 9007649019 |
| Address | THAKUR BATI STREET | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||