Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11589 | Date 30/05/2024 |
| Token No | SM/24-25/20099 09/12/2024 | Serial | 018 |
| Patient Name | Mrs. SONI DEBI KOIRI | Contact No | 7549814490 |
| Address | 79 DEY STREET | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||