Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09014 | Date 11/05/2023 |
| Token No | SM/22-23/9497 11/05/2023 | Serial | 022 |
| Patient Name | Mrs. JASHAMATI DEBI | Contact No | NOT GIVEN |
| Address | R.B. SARANI | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||