Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08317 | Date 09/02/2023 |
| Token No | SM/22-23/7788 09/02/2023 | Serial | 030 |
| Patient Name | Mrs. KIRAN DEBI | Contact No | 9674826792 |
| Address | 122 R B SARANI | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||