Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11666 | Date 15/06/2024 |
| Token No | SM/24-25/16921 15/06/2024 | Serial | 016 |
| Patient Name | Mrs. NILAM DEBI | Contact No | 8100347787 |
| Address | DEY STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||