Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12318 | Date 11/11/2024 |
| Token No | SM/24-25/19653 11/11/2024 | Serial | 019 |
| Patient Name | Mrs. MOTI DEBI | Contact No | NOT GIVEN |
| Address | 3 NO R B SARANI | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||