Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11682 | Date 20/06/2024 |
| Token No | SM/24-25/17031 20/06/2024 | Serial | 033 |
| Patient Name | Mrs. KUNI DEBI | Contact No | 9836048547 |
| Address | 1 NO GATE INDIA JUTE MILL | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||