Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12099 | Date 12/09/2024 |
| Token No | SM/24-25/18781 12/09/2024 | Serial | 018 |
| Patient Name | Miss LAXMI BHUIYA | Contact No | 9163679154 |
| Address | J N L ROAD | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||