Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08359 | Date 16/02/2023 |
| Token No | SM/22-23/9708 19/05/2023 | Serial | 030 |
| Patient Name | Mrs. MIRA DEBI | Contact No | 8229027313 |
| Address | 7 R B SARANI | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||