Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12324 | Date 12/11/2024 |
| Token No | SM/24-25/19663 12/11/2024 | Serial | 008 |
| Patient Name | Mrs. GURIYA DEBI | Contact No | 9193669380 |
| Address | 21 BOSE PARA LANE | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||