Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12123 | Date 21/09/2024 |
| Token No | SM/24-25/18913 21/09/2024 | Serial | 017 |
| Patient Name | Miss JYOTI KUMARI | Contact No | 9836048547 |
| Address | 30 N.L. BHATTACHARYA STREET | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||