Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11433 | Date 22/04/2024 |
| Token No | SM/24-25/20297 19/12/2024 | Serial | 017 |
| Patient Name | Mrs. DURGA DEBI | Contact No | 9038583202 |
| Address | india jute mill | Age | 33 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||