Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12290 | Date 30/10/2024 |
| Token No | SM/24-25/19540 30/10/2024 | Serial | 033 |
| Patient Name | Mrs. SONAMUNI DEBI | Contact No | 7870879060 |
| Address | 18/160 DR. N L B STREET | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||