Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08179 | Date 18/01/2023 |
| Token No | SM/22-23/7540 18/01/2023 | Serial | 021 |
| Patient Name | Mrs. PANPARI DEBI | Contact No | 7759836981 |
| Address | 12 NO LINE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||