Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11649 | Date 13/06/2024 |
| Token No | SM/24-25/16878 13/06/2024 | Serial | 027 |
| Patient Name | Mrs. FULMATI DEBI | Contact No | 6299599367 |
| Address | 1 NO HARI SAVA, RISHRA | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||