Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06819 | Date 25/08/2022 |
| Token No | SM/24-25/16334 17/05/2024 | Serial | 004 |
| Patient Name | Miss SUBHASHREE BHAR | Contact No | 8420798588 |
| Address | 41 R.B SARANI | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||