Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12081 | Date 09/09/2024 |
| Token No | SM/24-25/18676 09/09/2024 | Serial | 009 |
| Patient Name | Mrs. KRISHNA DEBI | Contact No | 8013552651 |
| Address | 70 THAKURBATI STREET | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||