Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05941 | Date 26/05/2022 |
| Token No | SM/22-23/4862 05/09/2022 | Serial | 015 |
| Patient Name | Mrs. RUPA DEBI | Contact No | 9051362946 |
| Address | 124 R.B SARANI | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||