Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11561 | Date 23/05/2024 |
| Token No | SM/24-25/16446 23/05/2024 | Serial | 016 |
| Patient Name | Mrs. LACHHMINA DEBI | Contact No | 6290117929 |
| Address | 7 NO GATE, INDIA JUTE MILL | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||