Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08492 | Date 02/03/2023 |
| Token No | SM/22-23/8151 02/03/2023 | Serial | 003 |
| Patient Name | Mrs. LALITA DEBI | Contact No | 8478099345 |
| Address | 7 NO LINE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||