Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08026 | Date 27/12/2022 |
| Token No | SM/22-23/7182 27/12/2022 | Serial | 026 |
| Patient Name | Mrs. UMRAWATI DEBI | Contact No | 9006014033 |
| Address | 7 RAM SITA LANE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||