Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11963 | Date 16/08/2024 |
| Token No | SM/24-25/18201 16/08/2024 | Serial | 004 |
| Patient Name | Mrs. PUJA DEBI | Contact No | 8017326581 |
| Address | 704 S K NAGAR, NAYA BASTI, RISHRA | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||