Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07841 | Date 29/11/2022 |
| Token No | SM/25-26/2304 15/10/2025 | Serial | 015 |
| Patient Name | Mrs. URMILA DEVI | Contact No | 9007516489 |
| Address | INDIA JUTE MILL | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||