Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11382 | Date 08/04/2024 |
| Token No | SM/24-25/15653 08/04/2024 | Serial | 012 |
| Patient Name | Mrs. BIMLA DEBI | Contact No | NOT GIVEN |
| Address | 10 DEY STREET | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||