Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08503 | Date 03/03/2023 |
| Token No | SM/22-23/8671 31/03/2023 | Serial | 021 |
| Patient Name | Mrs. SARDA DEBI | Contact No | 9123921882 |
| Address | 7 RAM SITA LINE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||