Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12124 | Date 21/09/2024 |
| Token No | SM/24-25/18917 21/09/2024 | Serial | 021 |
| Patient Name | Mrs. JHUMU NATH | Contact No | 8240001865 |
| Address | 42 G T ROAD | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||