Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12734 | Date 05/03/2025 |
| Token No | SM/24-25/21200 05/03/2025 | Serial | 018 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7463975748 |
| Address | INDIA JUTE MILL | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||