Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04037 | Date 22/09/2020 |
| Token No | SM/22-23/9941 02/06/2023 | Serial | 022 |
| Patient Name | Mrs. RAMRATI DEBI | Contact No | 8583947200 |
| Address | ram sita lane | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||