Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12047 | Date 02/09/2024 |
| Token No | SM/24-25/18592 04/09/2024 | Serial | 028 |
| Patient Name | Mrs. PURNIMA PAKIRA | Contact No | 9674288264 |
| Address | ANNADABABU GARDEN LANE( 1ST CHEKUP) | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||