Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07652 | Date 14/11/2022 |
| Token No | SM/22-23/6660 28/11/2022 | Serial | 009 |
| Patient Name | Mrs. RANI DEBEY | Contact No | 9931700710 |
| Address | 6 INDIA JUTE MILL | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||