Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12114 | Date 20/09/2024 |
| Token No | SM/24-25/18884 20/09/2024 | Serial | 004 |
| Patient Name | Miss DHARAMSHILA DEBI | Contact No | 8777355178 |
| Address | 6 DR. K D B LANE | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||