Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01924 | Date 16/04/2019 |
| Token No | SM/24-25/17408 08/07/2024 | Serial | 017 |
| Patient Name | Mrs. SUMITRA DEBI | Contact No | NOT GIVEN |
| Address | 103 R B SARANI | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||