Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12172 | Date 30/09/2024 |
| Token No | SM/24-25/19117 30/09/2024 | Serial | 041 |
| Patient Name | Mrs. PRIYANKA DEY | Contact No | 7890955253 |
| Address | 9 DEY STREET | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||