Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12007 | Date 28/08/2024 |
| Token No | SM/24-25/18426 28/08/2024 | Serial | 031 |
| Patient Name | Mrs. UMRAWATI DEBI | Contact No | 8478088665 |
| Address | 7 RAM SITA LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||