Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08116 | Date 05/01/2023 |
| Token No | SM/22-23/7375 05/01/2023 | Serial | 010 |
| Patient Name | Mrs. NAGO DEBI | Contact No | 7044628439 |
| Address | MANIKTALA | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||