Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11579 | Date 29/05/2024 |
| Token No | SM/24-25/16611 31/05/2024 | Serial | 012 |
| Patient Name | Mrs. PUJA KUMARI SINGH | Contact No | 9875446679 |
| Address | 23 NL BHATTACHARYA ST | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||