Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05515 | Date 09/03/2022 |
| Token No | SM/22-23/9307 02/05/2023 | Serial | 019 |
| Patient Name | Mrs. MOHINI DEBI | Contact No | 9883966816 |
| Address | 22 BAZAR BYE LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||