Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12735 | Date 05/03/2025 |
| Token No | SM/24-25/21203 05/03/2025 | Serial | 021 |
| Patient Name | Mrs. LALMUNI DEVI | Contact No | 7463975748 |
| Address | INDIA JUTE MILL | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||