Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11467 | Date 02/05/2024 |
| Token No | SM/24-25/16035 02/05/2024 | Serial | 018 |
| Patient Name | Mrs. G. GITA | Contact No | 9330693158 |
| Address | 18 NO. LINE, INDIA JUTE MILL | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||