Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08819 | Date 21/04/2023 |
| Token No | SM/22-23/9061 21/04/2023 | Serial | 081 |
| Patient Name | Mrs. RUPA DEBI RAJBHAR | Contact No | NOT GIVEN |
| Address | 104 R.B. SARANI | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||