Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12157 | Date 28/09/2024 |
| Token No | SM/24-25/19049 28/09/2024 | Serial | 002 |
| Patient Name | Mrs. MAMTA DEBI | Contact No | 8296506318 |
| Address | 12 NO LINE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||