Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06934 | Date 06/09/2022 |
| Token No | SM/22-23/4907 06/09/2022 | Serial | 022 |
| Patient Name | Mrs. RUP JHARO GUPTA | Contact No | 8757059174 |
| Address | 1 INDIA JUTE MILL | Age | 70 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||