Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10792 | Date 22/11/2023 |
| Token No | SM/24-25/19773 20/11/2024 | Serial | 004 |
| Patient Name | Mrs. KABITA SINGHA | Contact No | 9874392876 |
| Address | 105 R B SARANI | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||